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Individual

MRS. CHRISTINA MAE BRYANT-HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5230 E 119TH ST, CLEVELAND, OH 44125-2871
(216) 587-4733
Mailing address
5230 E 119TH ST, CLEVELAND, OH 44125-2871
(216) 587-4733

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
105867
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2156349
OH
Enumeration date
02/27/2007
Last updated
07/09/2007
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