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1710503594
KHADIJAH SHABAZZ
CLEVELAND, OH
NPI
1710503594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-06-17
Last Update Date
2020-06-17
Business Address
Mrs. KHADIJAH SHABAZZ
11201 SHAKER BLVD STE 308
CLEVELAND, OH 44104-3871
Phone number: 216-417-8813
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Mailing Address
Mrs. KHADIJAH SHABAZZ
13513 CARPENTER RD
GARFIELD HEIGHTS, OH 44125-5121
Phone number:
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