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1518614643
JERRY HOUSTON
CLEVELAND, OH
NPI
1518614643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2022-03-08
Last Update Date
2022-12-09
Business Address
Mr. JERRY HOUSTON
1744 PAYNE AVE
CLEVELAND, OH 44114-2910
Phone number: 216-623-6555
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Mailing Address
Mr. JERRY HOUSTON
1744 PAYNE AVE
CLEVELAND, OH 44114-2910
Phone number: 216-623-6555
Copy
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