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Individual

BRIAN OWENS SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDCA

Contact information

Practice address
6753 STATE RD, PARMA, OH 44134-4517
(440) 843-5522
Mailing address
6753 STATE RD, PARMA, OH 44134-4517

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDCA.140392
OH

Other

Enumeration date
10/04/2018
Last updated
10/04/2018
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