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1346842325
KEVIN JAMES PETERSON
KENT, OH
NPI
1346842325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: OH 0381319)
Enumeration Date
2020-11-13
Last Update Date
2020-11-13
Business Address
KEVIN JAMES PETERSON
345 S DEPEYSTER ST APT 201
KENT, OH 44240-3696
Phone number: 330-603-4954
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Mailing Address
KEVIN JAMES PETERSON
345 S DEPEYSTER ST APT 201
KENT, OH 44240-3696
Phone number: 330-603-4954
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