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Individual

ANTOINE WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S.

Contact information

Practice address
238 S MERIDIAN RD, YOUNGSTOWN, OH 44509-2925
(330) 318-3436
Mailing address
215 PARK AVE, YOUNGSTOWN, OH 44504-1674

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/03/2017
Last updated
02/03/2017
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