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1467088070
KOURTNEY LECIERA CLARK
CLEVELAND, OH
NPI
1467088070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2020-03-14
Last Update Date
2020-03-14
Business Address
KOURTNEY LECIERA CLARK
2728 EUCLID AVE
CLEVELAND, OH 44115-2429
Phone number: 216-600-5194
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Mailing Address
KOURTNEY LECIERA CLARK
261 SUMMERFERN LN
COLUMBUS, OH 43213-7642
Phone number: 216-333-9995
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