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1518501493
RUSTY CAPTAIN
BAINBRIDGE, OH
NPI
1518501493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-11-04
Last Update Date
2019-11-04
Business Address
RUSTY CAPTAIN
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612-1500
Phone number: 740-634-3094
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Mailing Address
RUSTY CAPTAIN
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612-1500
Phone number: 740-634-3094
Copy
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