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Organization

USAF

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTIN MCCOY PIERSON RN (REGISTERED NURSE)
(419) 509-7513
Entity
Organization

Contact information

Practice address
418 SHREWSBURY ST, HOLLAND, OH 43528-8568
(419) 509-7513
Mailing address
418 SHREWSBURY ST, HOLLAND, OH 43528-8568
(419) 509-7513

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
RN.386593
OH

Other

Enumeration date
03/10/2017
Last updated
03/10/2017
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