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Individual

KATHLEEN ANN FAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
7500 AUBURN RD, CONCORD TOWNSHIP, OH 44077-9602
(440) 358-0400
Mailing address
7616 BRAINARD CT, MENTOR, OH 44060-3910
(440) 255-1735

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 184028
OH

Other

Enumeration date
05/23/2016
Last updated
05/23/2016
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