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1356940399
DONALD RAY BLAKLEY
MANSFIELD, OH
NPI
1356940399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Additional Taxonomies
376J00000X Homemaker
Enumeration Date
2020-10-21
Last Update Date
2020-10-21
Business Address
Mr. DONALD RAY BLAKLEY
717 W COOK RD
MANSFIELD, OH 44907-5009
Phone number: 419-564-2941
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Mailing Address
Mr. DONALD RAY BLAKLEY
717 W COOK RD
MANSFIELD, OH 44907-5009
Phone number: 419-564-2941
Copy
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