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Individual

WILLIAM EDWARD SPAETH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2704 STATE ROUTE 303, STREETSBORO, OH 44241-1721
(330) 389-0965
Mailing address
2704 STATE ROUTE 303, STREETSBORO, OH 44241-1721
(330) 389-0965

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
280552
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0142565
OH
Enumeration date
06/25/2007
Last updated
07/09/2007
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