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Individual

OCTAVIA A WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1469 E 195TH ST, EUCLID, OH 44117-1317
(216) 856-4052
Mailing address
1469 E 195TH ST, EUCLID, OH 44117-1317
(216) 856-4052

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
374U00000X
Home Health Aide
376K00000X
Nurse's Aide
Primary
400739520408
OH

Other

Enumeration date
09/26/2011
Last updated
09/26/2011
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