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1528691375
JACOB T BUSSELL
AMELIA, OH
NPI
1528691375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2020-02-20
Last Update Date
2020-02-20
Business Address
Mr. JACOB T BUSSELL
35 LORI LN APT 1
AMELIA, OH 45102-2462
Phone number: 513-748-1972
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Mailing Address
Mr. JACOB T BUSSELL
2289 BETHEL NEW RICHMOND RD
BETHEL, OH 45106-9527
Phone number:
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