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1104513209
TIMOTHY KIEFABER
ASHTABULA, OH
NPI
1104513209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-04-19
Last Update Date
2023-04-19
Business Address
TIMOTHY KIEFABER
4726 MAIN AVE
ASHTABULA, OH 44004-6929
Phone number: 440-578-8200
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Mailing Address
TIMOTHY KIEFABER
7232 JUSTIN WAY
MENTOR, OH 44060-4881
Phone number: 440-578-8200
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