Individual
GLORIA GAY CLEGHORN
Active
Individual
GLORIA GAY CLEGHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INDEPENDENT PROVIDER
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
RH167804
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0974307
—
OH
Enumeration date
10/03/2007
Last updated
10/03/2007
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