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1609697010
JACOB BATESOLE
AVON, OH
NPI
1609697010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH 005773)
Enumeration Date
2024-10-18
Last Update Date
2024-10-18
Business Address
JACOB BATESOLE
33200 HEALTH CAMPUS BLVD
AVON, OH 44011-1481
Phone number: 440-937-0757
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Mailing Address
JACOB BATESOLE
970 GULF RD
ELYRIA, OH 44035-2962
Phone number: 440-452-5878
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