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1225400021
DAVANZO TATE
YOUNGSTOWN, OH
NPI
1225400021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: OH 5004944)
Enumeration Date
2015-10-20
Last Update Date
2015-10-20
Business Address
-- DAVANZO TATE
6602 HARVEST RIDGE DR
YOUNGSTOWN, OH 44515-5562
Phone number: 330-974-5415
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Mailing Address
-- DAVANZO TATE
6602 HARVEST RIDGE DR
YOUNGSTOWN, OH 44515-5562
Phone number: 330-974-5415
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