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Cleveland Back & Pain Mgmt

Debarred entity
TypeCompany[sources]
NameCleveland Back & Pain Mgmt[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States of America[sources]
DescriptionProvider ID: 2802695[sources]
NPI1669585428[sources]
Registration numbernot available[sources]
Sector21-Professional Medical Group[sources]
Address2307 W. 14th St. S 9 S, Cleveland, OH 44113[sources]
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Data sources

US Ohio Medicaid Excluded and Suspended Providers2,123

Medical providers excluded or suspended from Ohio's Medicaid program.

United States of America · ODM


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