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Individual

MR. EDGAR CLOUD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
QMHS

Contact information

Practice address
5653 CUMBERLAND DR, GARFIELD HEIGHTS, OH 44125-3559
(216) 624-7428
Mailing address
5653 CUMBERLAND DR, GARFIELD HEIGHTS, OH 44125-3559
(216) 624-7428

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
172A00000X
Driver
2255A2300X
Athletic Trainer
4469053
376J00000X
Homemaker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2910854
OH
Enumeration date
09/27/2017
Last updated
07/30/2024
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