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1134613672
ISSAC JUSTICE
ATHENS, OH
NPI
1134613672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-06-19
Last Update Date
2018-06-19
Business Address
ISSAC JUSTICE
11 GRAHAM DR
ATHENS, OH 45701-1430
Phone number: 800-321-8293
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Mailing Address
ISSAC JUSTICE
PO BOX 1595
COLUMBUS, OH 43216-1595
Phone number:
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