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Mrs. Clara Gracon
Technician/Technologist in Cleveland, Ohio
NPI 1164003463

Clara Gracon is a Technician/Technologist based in Cleveland, OH. Clara Gracon practices in Cleveland, OH. The NPI Number for Clara Gracon is 1164003463 and holds a License No. 09201502 (Ohio).

The current practice location address for Clara Gracon is 2323 Broadview Rd, Cleveland, OH and can be reached out via phone at 216-661-5077.

Location: 2323 Broadview Rd, Cleveland, OH, 44109-3504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164003463
Provider Name
Clara Gracon
Credential
Provider Entity Type
Individual
Gender
Female
Address
2323 Broadview Rd, Cleveland, OH, 44109-3504
Phone Number
216-661-5077
Fax Number
Provider Enumeration Date
04/19/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15083961 01 OH 15083961
institution
Provider Business Practice Location Address Details
Address
2323 Broadview Rd
City
Cleveland
State
Ohio
Zip
44109-4177
Phone Number
216-661-5077
Fax Number
person
Provider Business Mailing Address Details
Address
2323 Broadview Rd
City
Cleveland
State
Ohio
Zip
44109-4177
Phone Number
216-661-5077
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
09201502 (Ohio)
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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