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1548004146
ANTONIO DEMETRIOUS HALL
PICKERINGTON, OH
NPI
1548004146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-06-19
Last Update Date
2024-06-28
Business Address
ANTONIO DEMETRIOUS HALL
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147-8235
Phone number: 614-726-7359
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Mailing Address
ANTONIO DEMETRIOUS HALL
2412 HOLT AVE
COLUMBUS, OH 43219-1451
Phone number: 614-623-8489
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