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1194485789
KRISTINA GLENN COLCLEASURE
CINCINNATI, OH
NPI
1194485789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
Enumeration Date
2021-12-22
Last Update Date
2021-12-22
Business Address
KRISTINA GLENN COLCLEASURE
3515 WERK RD
CINCINNATI, OH 45248-6229
Phone number: 937-474-4290
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Mailing Address
KRISTINA GLENN COLCLEASURE
3515 WERK RD
CINCINNATI, OH 45248-6229
Phone number: 937-474-4290
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