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Individual

RENEE MARIE MAKUPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
22344 LAKE SHORE BLVD, EUCLID, OH 44123-1717
(216) 815-4325
Mailing address
22344 LAKE SHORE BLVD, EUCLID, OH 44123-1717
(216) 815-4325

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.0032668
OH

Other

Enumeration date
11/16/2022
Last updated
11/16/2022
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