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1689393241
JAY TAVAREZ
CLEVELAND, OH
NPI
1689393241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-08-25
Last Update Date
2022-08-25
Business Address
JAY TAVAREZ qmhs, cms
3500 CARNEGIE AVE
CLEVELAND, OH 44115-2641
Phone number: 440-234-2006
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Mailing Address
JAY TAVAREZ qmhs, cms
343 W BAGLEY RD STE 300
BEREA, OH 44017-1357
Phone number:
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