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1902384175
DEREK JOHN PIDGEON
MANSFIELD, OH
NPI
1902384175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OH 103)
Enumeration Date
2018-07-31
Last Update Date
2018-07-31
Business Address
DEREK JOHN PIDGEON CPS
400 BOWMAN ST
MANSFIELD, OH 44903-1235
Phone number: 419-525-3525
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Mailing Address
DEREK JOHN PIDGEON CPS
2952 ECKERT RD
MANSFIELD, OH 44904-8676
Phone number: 567-303-8731
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