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1861047573
KATELYNN NICOLE MCILVAIN
MENTOR, OH
NPI
1861047573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2019-08-08
Last Update Date
2019-08-08
Business Address
KATELYNN NICOLE MCILVAIN
8445 MUNSON RD
MENTOR, OH 44060-2410
Phone number: 440-205-2441
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Mailing Address
KATELYNN NICOLE MCILVAIN
8445 MUNSON RD
MENTOR, OH 44060-2410
Phone number: 440-205-2441
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