Individual
MRS. JAMIE RAE STANTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1739 MEADOW LN, ORRVILLE, OH 44667-2310
(330) 684-2067
(330) 684-2067
Mailing address
1739 MEADOW LN, ORRVILLE, OH 44667-2310
(330) 684-2067
(330) 684-2067
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 107196
OH
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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