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Individual

MRS. PAULA RENEE STOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
47765 Y AND O RD, EAST LIVERPOOL, OH 43920-9702
(330) 386-1077
Mailing address
47765 Y AND O RD, EAST LIVERPOOL, OH 43920-9702
(330) 386-1077

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
372021110392
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2740216
OH
Enumeration date
03/27/2008
Last updated
03/28/2008
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