Individual
GALE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
715 WEBB AVE SW, MASSILLON, OH 44647-7868
(330) 313-6514
Mailing address
715 WEBB AVE SW, MASSILLON, OH 44647-7868
(330) 313-6514
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
083350
OH
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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