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Individual

TINA RAE DIBIASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
20611 EUCLID AVE, EUCLID, OH 44117-1521
(216) 859-2727
Mailing address
3422 MAYFIELD RD, CLEVELAND HTS, OH 44118-1308

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.266970
OH

Other

Enumeration date
06/09/2023
Last updated
06/09/2023
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