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1588297857
ANDRE LEAVELL
CANTON, OH
NPI
1588297857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2020-02-14
Last Update Date
2020-02-14
Business Address
ANDRE LEAVELL
421 WALLACE AVE SE
CANTON, OH 44707-2754
Phone number: 330-313-9096
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Mailing Address
ANDRE LEAVELL
421 WALLACE AVE SE
CANTON, OH 44707-2754
Phone number:
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