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Individual

ALICIA S ANGELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RN, CNP

Contact information

Practice address
25000 COUNTRY CLUB BLVD, # 255, NORTH OLMSTED, OH 44070-5344
(440) 893-0200
(440) 793-7194
Mailing address
25000 COUNTRY CLUB BLVD, # 255, NORTH OLMSTED, OH 44070-5344
(440) 893-0200
(440) 793-7194

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.08466.NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2646355
OH
Enumeration date
07/31/2006
Last updated
03/17/2011
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