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Individual

LOLA DOMINIQUE SIMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1019 E 76TH ST, CLEVELAND, OH 44103-2001
(216) 309-6839
Mailing address
18009 LAKE SHORE BLVD APT 305, CLEVELAND, OH 44119-1244
(216) 309-6839

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
602567440723
OH

Other

Enumeration date
06/19/2025
Last updated
06/19/2025
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