Individual
MISS KATHLEEN R STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
270 6TH AVE, GALION, OH 44833-3006
(419) 571-6657
Mailing address
270 6TH AVE, GALION, OH 44833-3006
(419) 571-6657
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
365243
OH
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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