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1063581395
MICHAEL CLIFFORD CARLISLE
CHARDON, OH
NPI
1063581395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OH 34008772)
Enumeration Date
2006-11-08
Last Update Date
2014-05-20
Business Address
-- MICHAEL CLIFFORD CARLISLE DO
13207 RAVENNA RD SENIOR ASSESSMENT PROGRAM
CHARDON, OH 44024-7032
Phone number: 216-844-2400
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Mailing Address
-- MICHAEL CLIFFORD CARLISLE DO
24701 EUCLID AVE THIRD FLOOR BILLING SERVICES
EUCLID, OH 44117-1714
Phone number: 216-844-2400
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