Individual
CASSANDRA PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 FULTON ST, SANDUSKY, OH 44870-2311
(419) 602-5204
Mailing address
311 FULTON ST, SANDUSKY, OH 44870-2311
(419) 602-5204
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.116567-MEDS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RR707200
DRIVERS LICENSE
OH
Enumeration date
10/13/2015
Last updated
10/13/2015
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