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1700357829
LOVEL HENDERSON JR
CLEVELAND, OH
NPI
1700357829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
LOVEL HENDERSON JR Jr.
6600 LEXINGTON AVE
CLEVELAND, OH 44103
Phone number: 216-355-8331
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Mailing Address
LOVEL HENDERSON JR Jr.
1769 EAST 63RD STREET
CLEVELAND, OH 44103
Phone number: 216-355-8331
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