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1184811127
JERRY DOUGLAS HARTMAN
MOUNT VERNON, OH
NPI
1184811127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I 9430)
Enumeration Date
2007-10-03
Last Update Date
2007-10-03
Business Address
-- JERRY DOUGLAS HARTMAN
17606 COSHOCTON RD
MOUNT VERNON, OH 43050-9218
Phone number: 740-397-0533
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Mailing Address
-- JERRY DOUGLAS HARTMAN
2803 AKRON RD
WOOSTER, OH 44691-7904
Phone number: 330-264-3232
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