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1871121699
KEONNA FUQUA
MANSFIELD, OH
NPI
1871121699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-03-28
Last Update Date
2024-08-26
Business Address
KEONNA FUQUA
1033 LARCHWOOD RD
MANSFIELD, OH 44907-2424
Phone number: 419-747-4122
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Mailing Address
KEONNA FUQUA
1915 FOUNTAINVIEW CT
COLUMBUS, OH 43232-2111
Phone number:
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