ODIN AZAZEL KISNER

CANTON, OH
NPI1144905811
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-06-20
Last Update Date2023-06-20
Business Address
ODIN AZAZEL KISNER
2421 13TH ST NW
CANTON, OH 44708-3116
Phone number: 330-452-6000
Mailing Address
ODIN AZAZEL KISNER
5982 RHODES RD
KENT, OH 44240-8100
Phone number: 330-673-1347