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1912288705
COLBY DALE DECAPUA
CLEVELAND, OH
NPI
1912288705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50.003292)
Enumeration Date
2011-09-07
Last Update Date
2011-09-07
Business Address
Mr. COLBY DALE DECAPUA PA-C
9500 EUCLID AVE
CLEVELAND, OH 44195-0001
Phone number: 216-444-3743
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Mailing Address
Mr. COLBY DALE DECAPUA PA-C
9500 EUCLID AVE
CLEVELAND, OH 44195-0001
Phone number:
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