Individual
KENNETH A DUBAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
1255 RICHMOND RD, LYNDHURST, OH 44124-1271
(330) 978-9099
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN.476895
OH
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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