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1750779096
CARLA WIDENER
EUCLID, OH
NPI
1750779096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN:103552)
Enumeration Date
2015-01-08
Last Update Date
2015-01-08
Business Address
-- CARLA WIDENER
612 E 222ND ST
EUCLID, OH 44123-2024
Phone number: 216-780-0686
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Mailing Address
-- CARLA WIDENER
612 E 222ND ST
EUCLID, OH 44123-2024
Phone number: 216-780-0686
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