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Individual

CLARA S DIVITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
38898 JOHNNYCAKE RIDGE RD, WILLOUGHBY, OH 44094-7856
(440) 413-1292
Mailing address
38898 JOHNNYCAKE RIDGE RD, WILLOUGHBY, OH 44094-7856
(440) 413-1292

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
04/24/2024
Last updated
04/24/2024
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