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Individual

DEJA MINOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4225 MAYFIELD RD STE 201, SOUTH EUCLID, OH 44121-3037
(216) 394-6699
Mailing address
3337 E 119TH ST, CLEVELAND, OH 44120-3826

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary

Other

Enumeration date
01/10/2026
Last updated
01/10/2026
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