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1245726611
CHARLES H FAIRCLOTH
TOLEDO, OH
NPI
1245726611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-07-09
Last Update Date
2018-07-09
Business Address
CHARLES H FAIRCLOTH
2411 SEAMAN ST
TOLEDO, OH 43605-1519
Phone number: 419-693-1520
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Mailing Address
CHARLES H FAIRCLOTH
2411 SEAMAN ST
TOLEDO, OH 43605-1519
Phone number: 419-693-1520
Copy
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