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Individual

GRACE MCCRACKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
15322 SAINT CLAIR AVE, CLEVELAND, OH 44110
(216) 851-1500
Mailing address
4175 DARROW RD APT 33, STOW, OH 44224-2656

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006142RX
OH

Other

Enumeration date
09/28/2018
Last updated
09/13/2019
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