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1629197009
JACKIE CERVANTES
MANCHESTER, OH
NPI
1629197009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: OH 2627456)
Enumeration Date
2007-03-28
Last Update Date
2007-07-09
Business Address
-- JACKIE CERVANTES
308 JACK ROUSH WAY
MANCHESTER, OH 45144-1423
Phone number: 937-549-8502
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Mailing Address
-- JACKIE CERVANTES
308 JACK ROUSH WAY
MANCHESTER, OH 45144-1423
Phone number: 937-549-8502
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