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Individual
ROBERT NORDSTROM
Active
Individual
ROBERT NORDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.439890
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
03/21/2025
Last updated
03/21/2025
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