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Individual

DR. PATRICIA JEANNE CREATURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3547 MIDWAY MALL, EYEMASTERS, ELYRIA, OH 44035-2458
(440) 324-9779
Mailing address
3770 NORTHWOOD RD, UNIVERSITY HEIGHTS, OH 44118-3738
(216) 321-0811

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
046-008067
IL
152W00000X
Optometrist
3327
MA
152W00000X
Optometrist
4337 T909
OH
152W00000X
Optometrist
Primary
T004731
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0936491
OH
Enumeration date
03/04/2011
Last updated
03/04/2011
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