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Individual

CHRISTINA R KUMPUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1207 W STATE ST, SUITE M, ALLIANCE, OH 44601-8407
(330) 821-8407
(330) 821-8506
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 455-2101

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN319942
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2098331
OH
Enumeration date
08/09/2010
Last updated
06/23/2017
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