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Individual

MRS. LINDA DIANE STAGE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
STNA

Contact information

Practice address
4145 PERRY RDG, NELSONVILLE, OH 45764-9542
(740) 593-8114
Mailing address
4145 PERRY RDG, NELSONVILLE, OH 45764-9542
(740) 593-8114

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
372602481292
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2223829
OH
Enumeration date
06/12/2006
Last updated
07/08/2007
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