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1770120412
EMMANUEL JENKINS
SHELBY, OH
NPI
1770120412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.172188)
Enumeration Date
2019-12-02
Last Update Date
2019-12-02
Business Address
EMMANUEL JENKINS
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 419-747-3322
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Mailing Address
EMMANUEL JENKINS
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 419-747-3322
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