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Individual

DEBORAH ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
PO BOX 74953, CLEVELAND, OH 44194-1036
(440) 879-0081
(440) 879-0084

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.11457-NP
OH

Other

Enumeration date
09/29/2010
Last updated
09/29/2010
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