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1407575921
JACOB C MOTZ
CANTON, OH
NPI
1407575921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-08-26
Last Update Date
2022-08-26
Business Address
JACOB C MOTZ
5511 ISLAND DR NW
CANTON, OH 44718-1613
Phone number: 330-419-2045
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Mailing Address
JACOB C MOTZ
5511 ISLAND DR NW
CANTON, OH 44718-1613
Phone number: 330-419-2045
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