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1104664960
SPARKLE RAINELL MACKEY
CANTON, OH
NPI
1104664960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: OH TR141020)
Enumeration Date
2024-07-17
Last Update Date
2024-07-17
Business Address
SPARKLE RAINELL MACKEY
1406 13TH ST SE
CANTON, OH 44707-3432
Phone number: 330-795-1314
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Mailing Address
SPARKLE RAINELL MACKEY
1406 13TH ST SE
CANTON, OH 44707-3432
Phone number: 330-795-1314
Copy
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