JACKIE EZELL

YOUNGSTOWN, OH
NPI1801201314
Entity TypeOrganization
Authorized ContactJACKIE DENESE EZELL
Independent Provider
33078-757-5431
Organization Subpart ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2014-06-23
Last Update Date2014-06-23
Business Address
JACKIE EZELL
516 GRIFFITH ST UNIT 401
YOUNGSTOWN, OH 44510-2604
Phone number: 330-787-5754
Mailing Address
JACKIE EZELL
516 GRIFFITH ST UNIT 401
YOUNGSTOWN, OH 44510-2604
Phone number: 330-787-5754
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