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1154555175
THE LORENZO G JACKSON FOUNDATION
CLEVELAND, OH
NPI
1154555175
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Entity Type
Organization
Authorized Contact
EDWARD JOHNSON
CEO
216-799-8292
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2009-05-05
Last Update Date
2009-05-05
Business Address
THE LORENZO G JACKSON FOUNDATION
4756 E 174TH ST
CLEVELAND, OH 44128-3924
Phone number: 216-799-8292
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Mailing Address
THE LORENZO G JACKSON FOUNDATION
4756 E 174TH ST
CLEVELAND, OH 44128-3924
Phone number: 216-799-8292
Copy
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