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Individual

MARIA L GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1320 MERCY DRIVE NW, CANTON, OH 44708
(330) 489-1111
Mailing address
1320 MERCY DRIVE NW, CANTON, OH 44708
(330) 489-1111

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
09490
OH
363LA2200X
Adult Health Nurse Practitioner
RN 301124
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2799057
OH
Enumeration date
06/14/2007
Last updated
08/01/2019
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