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Individual

MS. DIANA LINN RUTHERFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
8285 WILHITE DR, WADSWORTH, OH 44281-9267
(330) 334-2648
Mailing address
8285 WILHITE DR, WADSWORTH, OH 44281-9267
(330) 334-2648

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN092335
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
092335
PRACTICAL NURSING LICENSE
OH
05
2137753
OH
Enumeration date
04/26/2007
Last updated
06/01/2016
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