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1235482720
EBONY NICOLE MOULTRY
CLEVELAND, OH
NPI
1235482720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: OH 401399400612)
Enumeration Date
2012-10-21
Last Update Date
2012-10-21
Business Address
-- EBONY NICOLE MOULTRY stna
3363 E 123RD ST APT. DOWN
CLEVELAND, OH 44120-3851
Phone number: 216-659-9638
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Mailing Address
-- EBONY NICOLE MOULTRY stna
3363 E 123RD ST APT. DOWN
CLEVELAND, OH 44120-3851
Phone number: 216-659-9638
Copy
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