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Individual

DAMON ANTHONY DEANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
16015 VAN AKEN BLVD, APT 202, SHAKER HEIGHTS, OH 44120-5342
(216) 355-4511
Mailing address
16015 VAN AKEN BLVD, APT 202, SHAKER HEIGHTS, OH 44120-5342
(216) 355-4511

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
139294
OH

Other

Enumeration date
01/27/2013
Last updated
01/27/2013
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