JOHNNY BALLOM

CLEVELAND, OH
NPI1912412719
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-12-04
Last Update Date2017-12-04
Business Address
JOHNNY BALLOM
4500 EUCLID AVE
CLEVELAND, OH 44103-3736
Phone number: 216-218-1524
Mailing Address
JOHNNY BALLOM
4500 EUCLID AVE
CLEVELAND, OH 44103-3736
Phone number:
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