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1447989983
JERRALD LEAK
DAYTON, OH
NPI
1447989983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2022-06-09
Last Update Date
2022-06-09
Business Address
JERRALD LEAK
1402 N EUCLID AVE
DAYTON, OH 45406-5918
Phone number: 937-361-1010
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Mailing Address
JERRALD LEAK
1402 N EUCLID AVE
DAYTON, OH 45406-5918
Phone number: 937-361-1010
Copy
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