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1104352657
KISHA JEFFERSON
CLEVELAND, OH
NPI
1104352657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: OH 322541220114)
Enumeration Date
2017-05-03
Last Update Date
2017-05-03
Business Address
-- KISHA JEFFERSON Stna
3788 W 130TH ST
CLEVELAND, OH 44111-3319
Phone number: 216-801-9227
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Mailing Address
-- KISHA JEFFERSON Stna
3788 W 130TH ST
CLEVELAND, OH 44111-3319
Phone number: 216-801-9227
Copy
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