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1902407513
JETAIYA SMITH
CANTON, OH
NPI
1902407513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-11-02
Last Update Date
2020-11-02
Business Address
JETAIYA SMITH QMHS BA CMS BA
401 TUSCARAWAS ST W STE 501
CANTON, OH 44702-2045
Phone number: 440-260-8300
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Mailing Address
JETAIYA SMITH QMHS BA CMS BA
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 440-234-2006
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