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Individual

JOHN MANESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
13422 KINSMAN RD, CLEVELAND, OH 44120-4410
(216) 283-3860
(216) 283-3861
Mailing address
1800 KENNEDY DR, WICKLIFFE, OH 44092-1616
(216) 283-3860
(216) 283-3861

Taxonomy

Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
03315848
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RQ235837
OHIO DRIVERS LICENSE
OH
Enumeration date
10/11/2016
Last updated
10/11/2016
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