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Individual

GEORGE JENNINGS MANSFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1830 LENOX NEW LYME RD, JEFFERSON, OH 44047-8584
(440) 576-6357
Mailing address
330 S MARKET ST, JEFFERSON, OH 44047-1435

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2972725
OH

Other

Enumeration date
08/18/2010
Last updated
08/18/2010
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