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1215424619
MICHAEL BIVENS
CLEVELAND, OH
NPI
1215424619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: OH 371862911191)
Enumeration Date
2018-04-20
Last Update Date
2018-04-20
Business Address
MICHAEL BIVENS
12414 LANCELOT AVENUE
CLEVELAND, OH 44108
Phone number: 216-242-8797
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Mailing Address
MICHAEL BIVENS
12414 LANCELOT AVENUE
CLEVELAND, OH 44108
Phone number: 216-242-8797
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