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1134966435
CARLOS RAY HUMPHRIES
CANTON, OH
NPI
1134966435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
372500000X Chore Provider
Enumeration Date
2024-07-12
Last Update Date
2024-11-07
Business Address
CARLOS RAY HUMPHRIES MD, FIRST AID
2812 ELLIS AVE NE
CANTON, OH 44705-4715
Phone number: 330-324-5002
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Mailing Address
CARLOS RAY HUMPHRIES MD, FIRST AID
2812 ELLIS AVE NE
CANTON, OH 44705-4715
Phone number: 330-324-5002
Copy
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