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1558827006
MALAICO SHANTEL LUSANE
CLEVELAND, OH
NPI
1558827006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: OH rr198205)
Enumeration Date
2019-02-20
Last Update Date
2019-02-20
Business Address
MALAICO SHANTEL LUSANE
2782 MARTIN LUTHER KING JR DR
CLEVELAND, OH 44104-3813
Phone number: 216-320-7829
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Mailing Address
MALAICO SHANTEL LUSANE
2782 MARTIN LUTHER KING JR DR
CLEVELAND, OH 44104-3813
Phone number: 216-320-7829
Copy
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