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1720488091
GODDESS MINGO
PARMA, OH
NPI
1720488091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 156494)
Enumeration Date
2014-08-24
Last Update Date
2019-06-06
Business Address
GODDESS MINGO RN
6001 STATE RD
PARMA, OH 44134-2869
Phone number: 216-253-4041
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Mailing Address
GODDESS MINGO RN
4923 E 109TH ST
GARFIELD HTS, OH 44125-2230
Phone number: 216-253-4041
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