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1871259291
DEREK M SHORT
MANSFIELD, OH
NPI
1871259291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-11-10
Last Update Date
2021-11-10
Business Address
DEREK M SHORT
711 SCHOLL RD
MANSFIELD, OH 44907-1571
Phone number: 419-756-1717
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Mailing Address
DEREK M SHORT
741 SCHOLL RD
MANSFIELD, OH 44907-1571
Phone number: 419-756-1717
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