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Individual

MR. STAUSH OAK CASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1245 GLEN DR, MILLERSBURG, OH 44654-8958
(330) 674-0444
(330) 674-0802
Mailing address
1245 GLEN DR, MILLERSBURG, OH 44654-8958
(330) 674-0444
(330) 674-0802

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1969
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0937188
OH
Enumeration date
10/12/2005
Last updated
10/05/2012
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