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Individual

MRS. CHARLENE REESE-RUSNAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-4004
Mailing address
294 HICKORY DR, BEREA, OH 44017-1031
(440) 227-9516

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2016011269
OH

Other

Enumeration date
10/05/2016
Last updated
10/05/2016
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