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1295222859
DONOVAN SHANE CRISP
MOUNT VERNON, OH
NPI
1295222859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: OH S.2309720)
Enumeration Date
2018-04-19
Last Update Date
2023-09-13
Business Address
DONOVAN SHANE CRISP AA
8402 BLACKJACK RD
MOUNT VERNON, OH 43050-9193
Phone number: 740-397-0442
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Mailing Address
DONOVAN SHANE CRISP AA
8402 BLACKJACK RD
MOUNT VERNON, OH 43050-9193
Phone number: 740-397-0442
Copy
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