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1760972657
GARRICK LAMONT MATLOCK
YOUNGSTOWN, OH
NPI
1760972657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-05-16
Last Update Date
2018-05-16
Business Address
GARRICK LAMONT MATLOCK QBHS
209 W WOODLAND AVE
YOUNGSTOWN, OH 44502-1866
Phone number: 330-787-9180
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Mailing Address
GARRICK LAMONT MATLOCK QBHS
594 QUARRY LN NE
WARREN, OH 44483-4535
Phone number:
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