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1831696970
GERALD POLK
SHELBY, OH
NPI
1831696970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children
Enumeration Date
2018-04-06
Last Update Date
2018-04-06
Business Address
GERALD POLK CDCA
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 419-747-3322
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Mailing Address
GERALD POLK CDCA
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 419-747-3322
Copy
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