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1245997097
WENDELL SIMMONS
MANSFIELD, OH
NPI
1245997097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
Additional Taxonomies
347C00000X Private Vehicle
Enumeration Date
2021-11-29
Last Update Date
2021-11-29
Business Address
WENDELL SIMMONS
1260 N STEWART RD
MANSFIELD, OH 44903-8831
Phone number: 567-303-5090
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Mailing Address
WENDELL SIMMONS
1260 N STEWART RD
MANSFIELD, OH 44903-8831
Phone number: 567-303-5090
Copy
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