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1841440658
ROBERT CARL LEBEAU
NEWARK, OH
NPI
1841440658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: OH PTA-6947)
Enumeration Date
2008-09-29
Last Update Date
2008-09-29
Business Address
Mr. ROBERT CARL LEBEAU PTA
75 MCMILLEN DR
NEWARK, OH 43055-1808
Phone number: 740-344-0357
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Mailing Address
Mr. ROBERT CARL LEBEAU PTA
1610 ELM ST
COSHOCTON, OH 43812-2221
Phone number: 740-610-5373
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