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Individual
MR. EDGAR CLOUD JR.
Active
Individual
MR. EDGAR CLOUD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHS
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
2255A2300X
Athletic Trainer
4469053
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
09/27/2017
Last updated
07/30/2024
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