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1568282150
JAKE POWELL
COLUMBUS, OH
NPI
1568282150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OH APS.005582)
Enumeration Date
2024-10-16
Last Update Date
2024-10-16
Business Address
JAKE POWELL
1081 COUNTRY CLUB RD
COLUMBUS, OH 43227-1481
Phone number: 610-944-4082
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Mailing Address
JAKE POWELL
1081 COUNTRY CLUB RD
COLUMBUS, OH 43227-1481
Phone number:
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