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1750112439
VINCENT ANTWON MAXWELL
BEDFORD, OH
NPI
1750112439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-08-13
Last Update Date
2024-08-13
Business Address
VINCENT ANTWON MAXWELL QBHS
7603 FIRST PL STE B12
BEDFORD, OH 44146-6703
Phone number: 440-703-4786
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Mailing Address
VINCENT ANTWON MAXWELL QBHS
7603 FIRST PL STE B12
BEDFORD, OH 44146-6703
Phone number: 440-703-4786
Copy
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