LEON LAKE

WEST PORTSMOUTH, OH
NPI1720894108
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-12-10
Last Update Date2024-12-10
Business Address
LEON LAKE
1359 11TH ST
WEST PORTSMOUTH, OH 45663-5819
Phone number: 740-456-7190
Mailing Address
LEON LAKE
1359 11TH ST
WEST PORTSMOUTH, OH 45663-5819
Phone number: 740-456-7190
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