Individual
MRS. CORDIE KAY PAIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 GORDON AVE, CAMPBELL, OH 44405-1667
(330) 599-1908
(330) 755-0770
Mailing address
17 BRIGHT AVE, CAMPBELL, OH 44405-1652
(330) 301-6628
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN102300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2432755
—
OH
Enumeration date
06/06/2006
Last updated
02/23/2015
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