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Individual

JERRY RUSSELL MOBLEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8316 COUNTY ROAD 71, PAULDING, OH 45879-9102
(419) 796-1369
Mailing address
8316 COUNTY ROAD 71, PAULDING, OH 45879-9102
(419) 796-1369

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
RU469140
OH

Other

Enumeration date
07/23/2026
Last updated
07/23/2026
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