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1720743925
GERALD LONG
CANTON, OH
NPI
1720743925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2021-11-02
Last Update Date
2021-11-02
Business Address
GERALD LONG
2214 21ST ST NE
CANTON, OH 44705-2332
Phone number: 234-410-4852
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Mailing Address
GERALD LONG
2214 21ST ST NE
CANTON, OH 44705-2332
Phone number: 234-410-4852
Copy
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