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1871115444
MARY ELIZABETH MODIC
CLEVELAND, OH
NPI
1871115444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364S00000X Clinical Nurse Specialist
(Licence: OH 147424)
Enumeration Date
2020-05-17
Last Update Date
2023-12-12
Business Address
MARY ELIZABETH MODIC
OFFICE OF ADVANCED PRACTICE - P-32 9500 EUCLID AVE
CLEVELAND, OH 44195-0001
Phone number: 216-444-9005
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Mailing Address
MARY ELIZABETH MODIC
4582 WINDSTREAM LN
BRECKSVILLE, OH 44141-2931
Phone number: 440-838-8463
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