Organization
TONI GAMBLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI TEKILA GAMBLE LPN (LICENSED PRACTICTIO)
(216) 441-4585
Entity
Organization
Contact information
Practice address
3545 E 105TH ST, CLEVELAND, OH 44105-1815
(216) 441-4585
Mailing address
3545 E 105TH ST, CLEVELAND, OH 44105-1815
(216) 441-4585
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
130161
OH
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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