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Individual

SUSAN A KURLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
23250 CHAGRIN BLVD, BLD #5 STE 440, BEACHWOOD, OH 44122
(216) 514-1864
(216) 514-1867
Mailing address
23250 CHAGRIN BLVD, BLD #5 STE 440, BEACHWOOD, OH 44122
(216) 514-1864
(216) 514-1867

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3745T529
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0915442
OH
01
341711241
CORPEIN
Enumeration date
03/28/2006
Last updated
09/12/2011
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