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1356191449
DERRICK GORDON
CANTON, OH
NPI
1356191449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
(Licence: OH TH945069)
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
Mr. DERRICK GORDON
2401 FLETCHER AVE NE
CANTON, OH 44705-4625
Phone number: 330-268-6592
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Mailing Address
Mr. DERRICK GORDON
2401 FLETCHER AVE NE
CANTON, OH 44705-4625
Phone number: 330-268-6592
Copy
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