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Individual
MICHAEL ANTHONY SPATARO
Active
Individual
MICHAEL ANTHONY SPATARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.499852
OH
164W00000X
Licensed Practical Nurse
Primary
LPN.166363.MEDS-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104987202999
—
OH
Enumeration date
08/05/2018
Last updated
12/30/2021
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