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1245738152
CANDIS MICHELLE BOURNE
CANTON, OH
NPI
1245738152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OH C.1800817-TRNE)
Enumeration Date
2018-01-25
Last Update Date
2018-01-25
Business Address
CANDIS MICHELLE BOURNE
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-455-0374
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Mailing Address
CANDIS MICHELLE BOURNE
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-455-0374
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