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Individual

DANTE ALTEMARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-5612
(216) 476-7000
Mailing address
14600 DETROIT AVE APT 406, LAKEWOOD, OH 44107-4222

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005662RX
OH
363AM0700X
Medical Physician Assistant
50.005662RX
OH

Other

Enumeration date
09/13/2018
Last updated
10/02/2018
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