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1952021743
KENNETH RAY HARBOLT
PEDRO, OH
NPI
1952021743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-08-31
Last Update Date
2022-08-31
Business Address
MR. KENNETH RAY HARBOLT
115 PRIVATE ROAD 977
PEDRO, OH 45659-8608
Phone number: 740-534-1386
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Mailing Address
MR. KENNETH RAY HARBOLT
115 PRIVATE ROAD 977
PEDRO, OH 45659-8608
Phone number: 740-534-1386
Copy
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