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1114417268
MADISON CHICKOS
CLEVELAND, OH
NPI
1114417268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-05-15
Last Update Date
2018-05-15
Business Address
MADISON CHICKOS QMHS BA
3500 CARNEGIE AVE
CLEVELAND, OH 44115-2641
Phone number: 440-260-8300
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Mailing Address
MADISON CHICKOS QMHS BA
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 440-234-2006
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