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1659568004
JENNIFER LAUREEN DOUGHTY
CLEVELAND, OH
NPI
1659568004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: OH ota1211)
Enumeration Date
2007-10-01
Last Update Date
2007-10-01
Business Address
Ms. JENNIFER LAUREEN DOUGHTY COTA/L
7201 WADE PARK AVE
CLEVELAND, OH 44103-2765
Phone number: 216-361-6141
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Mailing Address
Ms. JENNIFER LAUREEN DOUGHTY COTA/L
7201 WADE PARK AVE
CLEVELAND, OH 44114
Phone number: 216-361-6141
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