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Individual

VIRGINIA C KRUGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
9293 STATE ROUTE 43, SUITE B, STREETSBORO, OH 44241-5374
(330) 626-1113
(330) 626-1133
Mailing address
9293 STATE ROUTE 43, SUITE B, STREETSBORO, OH 44241-5374
(330) 626-1113
(330) 626-1133

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
13439
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0103818
OH
Enumeration date
07/10/2012
Last updated
06/22/2015
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