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Individual

SANTAYJA SHARON COKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1771 WRENFORD RD, SOUTH EUCLID, OH 44121-3127
(216) 666-0596
Mailing address
1771 WRENFORD RD, SOUTH EUCLID, OH 44121-3127
(216) 666-0596

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
UC502301
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0185596
OH
Enumeration date
11/19/2016
Last updated
11/19/2016
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