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1831656495
SHANE KAMBAN
NEW PHILADELPHIA, OH
NPI
1831656495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-03-01
Last Update Date
2019-03-01
Business Address
SHANE KAMBAN QMHS HS CMS
1433 5TH ST NW
NEW PHILADELPHIA, OH 44663-1223
Phone number: 440-260-8300
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Mailing Address
SHANE KAMBAN QMHS HS CMS
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 440-234-2006
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