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1730685934
SHAQUILLE JEFFERSON
MEDINA, OH
NPI
1730685934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-04-05
Last Update Date
2019-01-16
Business Address
SHAQUILLE JEFFERSON
801 E WASHINGTON ST STE 150
MEDINA, OH 44256-3336
Phone number: 330-264-3232
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Mailing Address
SHAQUILLE JEFFERSON
801 E. WASINGTON ST. SUITE 150
MEDINA, OH 44256-3336
Phone number: 330-722-1069
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