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Individual

DEALLO M DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
202 E BAGLEY RD, BEREA, OH 44017-2058
(440) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN437980
OH

Other

Enumeration date
09/18/2019
Last updated
09/18/2019
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