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1952603656
MELISSA SUE KOENIG
CLEVELAND, OH
NPI
1952603656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
302R00000X Health Maintenance Organization
(Licence: OH 018933)
Enumeration Date
2010-12-01
Last Update Date
2010-12-01
Business Address
MISS MELISSA SUE KOENIG LMT
3366 E 55TH ST
CLEVELAND, OH 44127-1638
Phone number: 216-271-1133
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Mailing Address
MISS MELISSA SUE KOENIG LMT
9555 GREEN VALLEY DR
MENTOR, OH 44060-6565
Phone number: 440-350-0265
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