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ANGELINA AILEEN HARDIESTY-KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
12340 STATE ROUTE 104, WAVERLY, OH 45690-8968
(740) 941-5297
(740) 702-5291
Mailing address
12340 STATE ROUTE 104, WAVERLY, OH 45690-8968
(740) 941-5297
(740) 702-5291

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.306974
OH

Other

Enumeration date
12/13/2012
Last updated
12/13/2012
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