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1205423795
JEFFREY HALLER
CANTON, OH
NPI
1205423795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2020-12-30
Last Update Date
2020-12-30
Business Address
JEFFREY HALLER
6465 RIDGEWOOD ST SW
CANTON, OH 44706-3141
Phone number: 330-265-4055
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Mailing Address
JEFFREY HALLER
6465 RIDGEWOOD ST SW
CANTON, OH 44706-3141
Phone number: 330-265-4055
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