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Individual

SANDRA KNIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1451 LARCHMONT RD, CLEVELAND, OH 44110-2813
(216) 376-2817
Mailing address
1451 LARCHMONT RD, CLEVELAND, OH 44110-2813

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
376699900797
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2773726
INDEPENDENT PROVIDER
OH
Enumeration date
06/02/2014
Last updated
06/02/2014
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