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Individual

ANGELA MARIE GAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
855 W MAPLE ST, STE. 110, HARTVILLE, OH 44632-9668
(330) 877-3616
(330) 877-1783
Mailing address
855 W MAPLE ST, STE. 110, HARTVILLE, OH 44632-9668
(330) 877-3616
(330) 877-1783

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP05762
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2260646
OH
Enumeration date
01/18/2006
Last updated
07/08/2007
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