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Individual

MRS. STACY M POPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
4601 LINCOLN HWY, CRESTLINE, OH 44827-9635
(419) 683-0548
Mailing address
4601 LINCOLN HWY, CRESTLINE, OH 44827-9635
(419) 683-0548

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN 372878
OH

Other

Enumeration date
08/03/2011
Last updated
08/03/2011
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