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1720574221
SAMUEL ALFRED
TOLEDO, OH
NPI
1720574221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OH CDCA.165458)
Enumeration Date
2018-07-08
Last Update Date
2018-07-08
Business Address
Mr. SAMUEL ALFRED CDCA
5301 NEBRASKA AVE
TOLEDO, OH 43615-4632
Phone number: 419-531-5544
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Mailing Address
Mr. SAMUEL ALFRED CDCA
1064 MARKHAM CT
TOLEDO, OH 43615-6727
Phone number: 419-265-0693
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