Individual
AYMEE STATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2526 GRANTON PL, OREGON, OH 43616-3818
(419) 283-9060
Mailing address
2526 GRANTON PL, OREGON, OH 43616-3818
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
113574
OH
Other
Enumeration date
05/28/2015
Last updated
10/14/2016
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