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1104488766
JUSTIN ALPHONSO EAFFORD
CLEVELAND, OH
NPI
1104488766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-07-03
Last Update Date
2019-07-03
Business Address
JUSTIN ALPHONSO EAFFORD QMHSBA CMSBA
3500 CARNEGIE AVE
CLEVELAND, OH 44115-2641
Phone number: 440-260-8300
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Mailing Address
JUSTIN ALPHONSO EAFFORD QMHSBA CMSBA
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 440-234-2006
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