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1386342632
JONTAE HENDERSON
CLEVELAND, OH
NPI
1386342632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: OH 401790980915)
Enumeration Date
2023-02-16
Last Update Date
2023-06-14
Business Address
JONTAE HENDERSON
1115 E 177TH ST UNIT 1
CLEVELAND, OH 44119-3143
Phone number: 216-450-7939
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Mailing Address
JONTAE HENDERSON
1115 E 177TH ST UNIT 1
CLEVELAND, OH 44119-3143
Phone number: 216-450-7939
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