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1528707106
JAQUON ANDRE MIXON
YOUNGSTOWN, OH
NPI
1528707106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2022-06-01
Last Update Date
2022-06-01
Business Address
JAQUON ANDRE MIXON
630 FERNDALE AVE
YOUNGSTOWN, OH 44511-3210
Phone number: 330-716-6710
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Mailing Address
JAQUON ANDRE MIXON
630 FERNDALE AVE
YOUNGSTOWN, OH 44511-3210
Phone number: 330-716-6710
Copy
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