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1942058144
JEFFREY ANTOINE SMALL
TOLEDO, OH
NPI
1942058144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness
(Licence: OH sn396250)
Enumeration Date
2024-05-11
Last Update Date
2024-05-11
Business Address
JEFFREY ANTOINE SMALL
4042 GARDEN PARK DR
TOLEDO, OH 43613-4043
Phone number: 419-490-3711
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Mailing Address
JEFFREY ANTOINE SMALL
4042 GARDEN PARK DR
TOLEDO, OH 43613-4043
Phone number: 419-490-3711
Copy
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