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1326653114
JEROME A. WATKINS
LORAIN, OH
NPI
1326653114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
405300000X Prevention Professional
(Licence: OH RA162262)
Enumeration Date
2020-09-09
Last Update Date
2020-09-09
Business Address
JEROME A. WATKINS CDCA
2314 KELLY PL
LORAIN, OH 44052-4838
Phone number: 440-246-4616
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Mailing Address
JEROME A. WATKINS CDCA
2314 KELLY PL
LORAIN, OH 44052-4838
Phone number: 440-246-4616
Copy
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