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Individual

AMY VEDOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3258 W 128TH ST, CLEVELAND, OH 44111-2515
(216) 318-7539
Mailing address
3258 W 128TH ST, CLEVELAND, OH 44111-2515
(216) 318-7539

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
07/29/2022
Last updated
07/29/2022
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