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1326679135
EVA KENNA PHOENIX
MENTOR, OH
NPI
1326679135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2020-01-30
Last Update Date
2020-01-30
Business Address
EVA KENNA PHOENIX QMHS
8445 MUNSON RD
MENTOR, OH 44060-2410
Phone number: 404-255-1700
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Mailing Address
EVA KENNA PHOENIX QMHS
8445 MUNSON RD
MENTOR, OH 44060-2410
Phone number: 404-255-1700
Copy
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