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1053078881
CHRISTIAN OMAR MEDINA
CLEVELAND, OH
NPI
1053078881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 178991)
Enumeration Date
2021-11-29
Last Update Date
2021-11-29
Business Address
CHRISTIAN OMAR MEDINA CDCA PRE
2202 PRAME AVE
CLEVELAND, OH 44109-1626
Phone number: 216-459-1222
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Mailing Address
CHRISTIAN OMAR MEDINA CDCA PRE
3305 W 25TH ST
CLEVELAND, OH 44109-1613
Phone number: 216-459-1222
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