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Individual

CHRISTINE M JUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN CNP

Contact information

Practice address
370 CLINE AVE, #B3, MANSFIELD, OH 44907-1057
(419) 756-9995
(419) 756-9921
Mailing address
370 CLINE AVE, #B3, MANSFIELD, OH 44907-1057
(419) 756-9995
(419) 756-9921

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN.094620-COA1
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2388910
OH
Enumeration date
06/25/2006
Last updated
07/08/2007
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