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NPI Profile for CANDICE HAIRSTON in CLEVELAND, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency |
| NPI # | 1639891252 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/12/2022 | |
| Last updated | 09/12/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CANDICE HAIRSTON
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CANDICE HAIRSTON