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1427618404
IAN EDWARDS
PORTSMOUTH, OH
NPI
1427618404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2019-06-20
Last Update Date
2019-06-20
Business Address
IAN EDWARDS
1345 SHELA BLVD APT 7
PORTSMOUTH, OH 45662-8981
Phone number: 740-406-1421
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Mailing Address
IAN EDWARDS
1345 SHELA BLVD APT 7
PORTSMOUTH, OH 45662-8981
Phone number: 740-406-1421
Copy