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1043777683
KENYATTA KING
CLEVELAND, OH
NPI
1043777683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-03-01
Last Update Date
2019-03-01
Business Address
KENYATTA KING QMHS 3 YR CMS
3500 CARNEGIE AVE
CLEVELAND, OH 44115-2641
Phone number: 440-260-8300
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Mailing Address
KENYATTA KING QMHS 3 YR CMS
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 440-234-2006
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