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Individual

CHARISSE THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9520 HILGERT DR, CLEVELAND, OH 44104-5333
(216) 254-8640
Mailing address
9520 HILGERT DR, CLEVELAND, OH 44104-5333
(216) 254-8640

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400584170207
OH

Other

Enumeration date
08/02/2010
Last updated
08/02/2010
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