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Stevenson Black JR.
Driver in Cleveland, Ohio
NPI 1588359491

Stevenson Black JR. is a Driver based in Cleveland, OH. Stevenson Black JR. practices in Cleveland, OH. The NPI Number for Stevenson Black JR. is 1588359491 and holds a License No. RU776031 (Ohio).

The current practice location address for Stevenson Black JR. is 667 E 109Th St, Cleveland, OH and can be reached out via phone at 216-326-7889.

Location: 667 E 109Th St, Cleveland, OH, 44108-2767
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588359491
Provider Name
Stevenson Black JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
667 E 109Th St, Cleveland, OH, 44108-2767
Phone Number
216-326-7889
Fax Number
Provider Enumeration Date
04/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
667 E 109Th St
City
Cleveland
State
Ohio
Zip
44108-2767
Phone Number
216-326-7889
Fax Number
person
Provider Business Mailing Address Details
Address
667 E 109Th St
City
Cleveland
State
Ohio
Zip
44108-2767
Phone Number
216-326-7889
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
RU776031 (Ohio)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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