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Individual

DWAYNE LE'MAR HURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
17325 EUCLID AVE STE 4103, CLEVELAND, OH 44112-1262
(216) 232-5455
Mailing address
6350 SPARROWHAWK WAY, OAKWOOD VILLAGE, OH 44146-3166

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
251B00000X
Case Management Agency
Primary

Other

Enumeration date
06/03/2020
Last updated
09/23/2020
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