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1558087544
DEANGELO WATERS
LOGAN, OH
NPI
1558087544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
DEANGELO WATERS
444 HENRIETTA AVE
LOGAN, OH 43138-1634
Phone number: 740-270-2963
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Mailing Address
DEANGELO WATERS
32225 SHAW RD
LOGAN, OH 43138-8851
Phone number: 740-270-2963
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