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Individual

SCHICKRI AINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094
(440) 953-6203
(440) 953-6202
Mailing address
2856 CAMELOT CT, WILLOUGHBY HILLS, OH 44092-1466
(440) 347-9977

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001017
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0067762
OH
Enumeration date
03/30/2006
Last updated
10/04/2012
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