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Individual

CHARELL A GILMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
23670 BANBURY CIR APT 3, CLEVELAND, OH 44128-5359
(216) 312-8333
Mailing address
23670 BANBURY CIR APT 3, CLEVELAND, OH 44128-5359
(216) 312-8333

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
400199000103
OH

Other

Enumeration date
11/14/2020
Last updated
11/14/2020
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