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1396397527
JACOB GILMORE
WARREN, OH
NPI
1396397527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: OH 170920)
Enumeration Date
2019-07-09
Last Update Date
2019-07-09
Business Address
JACOB GILMORE CDCA
4930 ENTERPRISE DR NW
WARREN, OH 44481-8706
Phone number: 330-787-0955
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Mailing Address
JACOB GILMORE CDCA
4930 ENTERPRISE DR NW
WARREN, OH 44481-8706
Phone number: 330-787-0955
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