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Individual

ANTOINETTE MARIE WHITTICAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333
(216) 781-0550
(216) 394-0787
Mailing address
271 EDGEWOOD DR, BEREA, OH 44017-1467
(440) 547-2845

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.461938
OH

Other

Enumeration date
10/01/2020
Last updated
10/01/2020
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