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Individual

KRYSTA NUNZIATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 EXECUTIVE DR, MARION, OH 43302-6306
(740) 223-4500
Mailing address
100 EXECUTIVE DR, MARION, OH 43302-6306

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND.20201290-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP.14445
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
COND.20201290-SP
OH
05
SP.14445
OH
Enumeration date
08/20/2020
Last updated
05/06/2022
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