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Facility Name
Cleveland Clinic
Provider Number
360180
Date approved
05/24/2006
State
OH
Address 1
9500 Euclid Avenue (A80)
Address 2
Cleveland OH 44195
Other Information
05/24/2006 - ASMBS; 12/01/2006 - ACS; Ronald Gambino - 216-444-7632; Nancy Anzlovar - 216-444-9390