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1619651577
JEROME WESLEY MCCALLA
SWEDESBORO, NJ
NPI
1619651577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities
Enumeration Date
2023-06-12
Last Update Date
2023-06-20
Business Address
JEROME WESLEY MCCALLA
212 SPRUCE TRL
SWEDESBORO, NJ 08085-4008
Phone number: 215-275-1999
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Mailing Address
JEROME WESLEY MCCALLA
212 SPRUCE TRL
SWEDESBORO, NJ 08085-4008
Phone number: 215-275-1999
Copy
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