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1720551724
TEVIS JEROME GORDON-CRAWFORD
CLEVELAND, OH
NPI
1720551724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH APRN.CNP.023686)
Enumeration Date
2019-01-02
Last Update Date
2020-07-31
Business Address
TEVIS JEROME GORDON-CRAWFORD NP
12100 SUPERIOR AVE
CLEVELAND, OH 44106-1444
Phone number: 216-851-7141
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Mailing Address
TEVIS JEROME GORDON-CRAWFORD NP
9802 SANDUSKY AVE
CLEVELAND, OH 44105-2367
Phone number:
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