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1821537465
MATTIE POLK
CLEVELAND, OH
NPI
1821537465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 140528)
Enumeration Date
2017-02-15
Last Update Date
2017-02-22
Business Address
-- MATTIE POLK
2316 E 34TH ST
CLEVELAND, OH 44115-3003
Phone number: 216-000-0000
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Mailing Address
-- MATTIE POLK
2316 E 34TH ST
CLEVELAND, OH 44115-3003
Phone number: 216-000-0000
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