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Individual

MRS. KELLY WAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
540 PARK AVE, MIAMISBURG, OH 45342-2854
(937) 866-3381
(937) 866-3536
Mailing address
190 COLONEL DR, CARLISLE, OH 45005-4297
(937) 866-3381
(937) 866-3536

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN.257587
OH

Other

Enumeration date
11/06/2015
Last updated
11/06/2015
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