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1265069637
GRANT E KUNKLE
SPRINGFIELD, OH
NPI
1265069637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OH CDCA.169360)
Enumeration Date
2020-03-25
Last Update Date
2020-03-25
Business Address
GRANT E KUNKLE
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505-2620
Phone number: 937-328-5300
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Mailing Address
GRANT E KUNKLE
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505-2620
Phone number: 937-328-5300
Copy
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