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Individual

MR. MARK BROOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NURSING ASSISTANT

Contact information

Practice address
4438 DONNA DR, RICHMOND HEIGHTS, OH 44143-2630
(216) 440-2352
Mailing address
4438 DONNA DR, RICHMOND HEIGHTS, OH 44143-2630
(216) 440-2352

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401091190510
OH

Other

Enumeration date
01/09/2011
Last updated
01/09/2011
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