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1922694652
MATTHEW E LAKE
CHILLICOTHE, OH
NPI
1922694652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-12-16
Last Update Date
2020-12-16
Business Address
MATTHEW E LAKE
2832 PATTON HILL RD
CHILLICOTHE, OH 45601-3720
Phone number: 740-466-4970
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Mailing Address
MATTHEW E LAKE
2832 PATTON HILL RD
CHILLICOTHE, OH 45601-3720
Phone number: 740-466-4970
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