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Individual
MR. JAWUAN FORD
Active
Individual
MR. JAWUAN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
310400000X
Assisted Living Facility
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
07/27/2015
Last updated
01/29/2025
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