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1629688486
THEOPOLIS WASHINGTON
CLEVELAND, OH
NPI
1629688486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-08-06
Last Update Date
2020-08-06
Business Address
THEOPOLIS WASHINGTON
12305 ARLINGTON AVE
CLEVELAND, OH 44108-2359
Phone number: 216-269-3243
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Mailing Address
THEOPOLIS WASHINGTON
9814 FIRESTONE LN
MACEDONIA, OH 44056-1549
Phone number: 216-269-3243
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