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Individual

STACY L ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1625 TROY SIDNEY RD, TROY, OH 45373-9794
(397) 440-3000
Mailing address
2125 POLECAT RD, TROY, OH 45373-9714
(937) 580-0088

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1964
OH
05
1999
OH
Enumeration date
12/28/2022
Last updated
12/28/2022
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