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1962143800
GREGORY JIMISON
CLEVELAND, OH
NPI
1962143800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 179022)
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
GREGORY JIMISON
1804 E 55TH ST
CLEVELAND, OH 44103-3602
Phone number: 216-762-1237
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Mailing Address
GREGORY JIMISON
1804 E 55TH ST
CLEVELAND, OH 44103-3602
Phone number: 216-762-1237
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