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1548949712
LORENZO RUSSELL MARTIN
CLEVELAND, OH
NPI
1548949712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OH CDCA.184193)
Enumeration Date
2023-07-14
Last Update Date
2023-07-14
Business Address
LORENZO RUSSELL MARTIN
3214 PROSPECT AVE E
CLEVELAND, OH 44115-2614
Phone number: 216-910-9015
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Mailing Address
LORENZO RUSSELL MARTIN
3214 PROSPECT AVE E
CLEVELAND, OH 44115-2614
Phone number: 216-910-9015
Copy
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