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1851430417
MODISH JEAN LANE
BEACHWOOD, OH
NPI
1851430417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: OH 35049505)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
Dr. MODISH JEAN LANE m.d.
23250 CHAGRIN BLVD 110
BEACHWOOD, OH 44122-5470
Phone number: 216-591-1862
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Mailing Address
Dr. MODISH JEAN LANE m.d.
23250 CHAGRIN BLVD 110
BEACHWOOD, OH 44122-5470
Phone number: 216-591-1862
Copy
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