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1700370186
KIVA L DURHAM BOHANON
CLEVELAND, OH
NPI
1700370186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2018-06-19
Last Update Date
2018-06-19
Business Address
KIVA L DURHAM BOHANON QMHS BA
3500 CARNEGIE AVE
CLEVELAND, OH 44115-2641
Phone number: 440-260-8300
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Mailing Address
KIVA L DURHAM BOHANON QMHS BA
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 440-234-2006
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