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1891195939
MICHELLE K IDADA
CLEVELAND, OH
NPI
1891195939
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Former Name
MICHELLE K CLOUGH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OH 50.004077RX)
Enumeration Date
2014-08-26
Last Update Date
2019-05-22
Business Address
MICHELLE K IDADA MPAS, PA-C
9500 EUCLID AVE MAIL CODE A40
CLEVELAND, OH 44195-0001
Phone number: 216-692-7239
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Mailing Address
MICHELLE K IDADA MPAS, PA-C
9500 EUCLID AVE MAIL CODE A40
CLEVELAND, OH 44195-0001
Phone number: 216-445-7408
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