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Individual

MRS. REGINA MAE POOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
212 SLEEPY HOLLOW DR, AMHERST, OH 44001-2791
(440) 988-0155
Mailing address
662 MAYFIELD CT, AMHERST, OH 44001-1331
(440) 988-4267

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
270470
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2065170
OH
Enumeration date
12/31/2007
Last updated
12/31/2007
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