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Candice Hairston
Rehabilitation Clinic/Center in Cleveland, Ohio
NPI 1639891252

Candice Hairston is a Rehabilitation Clinic/Center based in Cleveland, OH and is specialized in Rehabilitation. Candice Hairston practices in Cleveland, OH. The NPI Number for Candice Hairston is 1639891252 and holds a License No. (Ohio).

The current practice location address for Candice Hairston is 5408 Orey Ave, Cleveland, OH and can be reached out via phone at 216-240-4690.

Location: 5408 Orey Ave, Cleveland, OH, 44128-1635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639891252
Provider Name
Candice Hairston
Credential
Provider Entity Type
Individual
Gender
Female
Address
5408 Orey Ave, Cleveland, OH, 44128-1635
Phone Number
216-240-4690
Fax Number
Provider Enumeration Date
09/12/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
86-3010133 01 OH STATE OF OHIO
institution
Provider Business Practice Location Address Details
Address
5408 Orey Ave
City
Cleveland
State
Ohio
Zip
44105-3339
Phone Number
216-240-4690
Fax Number
person
Provider Business Mailing Address Details
Address
5408 Orey Ave
City
Cleveland
State
Ohio
Zip
44105-3339
Phone Number
216-240-4690
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation
Taxonomy
261QR0400X
License No.
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Definition
Definition to come...
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