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Individual

JOSEPH JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
14805 BRUNSWICK AVE, MAPLE HEIGHTS, OH 44137-3819
(216) 532-4419
Mailing address
14805 BRUNSWICK AVE, MAPLE HEIGHTS, OH 44137-3819
(216) 532-4419

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
UB660236
OH
Enumeration date
10/06/2022
Last updated
10/06/2022
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