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Individual

KINXIAN THACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
10701 EAST BLVD, PERSONNEL HEALTH 170(W), CLEVELAND, OH 44106-1702
(216) 791-3800

Taxonomy

Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
RN.482793
OH

Other

Enumeration date
10/13/2020
Last updated
10/15/2020
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