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Individual

CHANRIELLE HOLT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19371 ORMISTON AVE, EUCLID, OH 44119-1516
(216) 209-0128
Mailing address
19371 ORMISTON AVE, EUCLID, OH 44119-1516

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
142015
OH

Other

Enumeration date
04/15/2014
Last updated
04/15/2014
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