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Individual

JOHN BEBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPHT

Contact information

Practice address
9211 EUCLID AVENUE, CLEVELAND, OH 44195-0001
(216) 636-0760
Mailing address
9211 EUCLID AVE, CLEVELAND, OH 44195-0001

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
09306921
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09306921
STATE LICENSE NUMBER
OH
Enumeration date
05/13/2020
Last updated
01/19/2021
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