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1053934653
DAIVON SHEPHERD
CLEVELAND, OH
NPI
1053934653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
DAIVON SHEPHERD
3518 W 25TH ST
CLEVELAND, OH 44109-1951
Phone number: 216-741-2241
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Mailing Address
DAIVON SHEPHERD
3518 W 25TH ST
CLEVELAND, OH 44109-1951
Phone number: 216-741-2241
Copy
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