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1760207898
QWONTAYA CARLISLE
CLEVELAND, OH
NPI
1760207898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-11-22
Last Update Date
2024-11-22
Business Address
QWONTAYA CARLISLE
3500 CARNEGIE AVE
CLEVELAND, OH 44115-2641
Phone number: 440-260-6835
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Mailing Address
QWONTAYA CARLISLE
3500 CARNEGIE AVE
CLEVELAND, OH 44115-2641
Phone number: 440-260-6835
Copy
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