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1760141386
JACOB RYAN BAISDEN
JACKSON, OH
NPI
1760141386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: OH 374U00000X)
Enumeration Date
2021-12-10
Last Update Date
2021-12-10
Business Address
JACOB RYAN BAISDEN
25 S HIGH ST
JACKSON, OH 45640-1812
Phone number: 740-988-8637
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Mailing Address
JACOB RYAN BAISDEN
25 S HIGH ST
JACKSON, OH 45640-1812
Phone number: 740-988-8637
Copy
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