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1457937757
MALCOLM TANKSLEY
COLUMBUS, OH
NPI
1457937757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-03-18
Last Update Date
2021-03-18
Business Address
MALCOLM TANKSLEY QMHS BA CMS
195 N GRANT AVE STE 250
COLUMBUS, OH 43215-2855
Phone number: 440-260-8300
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Mailing Address
MALCOLM TANKSLEY QMHS BA CMS
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 440-234-2006
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