Individual
TAYLOR NICOLE WRUBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
122 SOUTHPARK CTR, STRONGSVILLE, OH 44136-9316
(440) 572-4421
(440) 572-9137
Mailing address
122 SOUTHPARK CTR, STRONGSVILLE, OH 44136-9316
(440) 572-4421
(440) 572-9137
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.006783
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT.006783
LICENSE
OH
Enumeration date
06/04/2019
Last updated
06/04/2019
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