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Individual

GLORIA GAY CLEGHORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
INDEPENDENT PROVIDER

Contact information

Practice address
405 W THORNTON ST, AKRON, OH 44307-1926
(330) 434-1743
(888) 328-5911
Mailing address
405 W THORNTON ST, AKRON, OH 44307-1926
(330) 434-1743
(888) 328-5911

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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