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1114674454
MARCELLUS AMADIUS HAYNES
MORAINE, OH
NPI
1114674454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-03-07
Last Update Date
2022-03-08
Business Address
MARCELLUS AMADIUS HAYNES
3095 KETTERING BLVD
MORAINE, OH 45439-1983
Phone number: 937-293-8800
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Mailing Address
MARCELLUS AMADIUS HAYNES
35 E BURTON AVE
DAYTON, OH 45405-4130
Phone number: 937-776-6201
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