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1750955415
JENNIFER MAZZOLA
MUNCIE, IN
NPI
1750955415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2021-05-18
Last Update Date
2021-05-18
Business Address
JENNIFER MAZZOLA
3700 W KILGORE AVE
MUNCIE, IN 47304-4810
Phone number: 765-747-5223
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Mailing Address
JENNIFER MAZZOLA
4840 SUNPOINT CIR APT 610
INDIANAPOLIS, IN 46237-4601
Phone number:
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