Sara Hulda Stark LPN

NPI 1497989966 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1497989966
Gender Female
Enumeration Date 05/12/2009
Last Updated 05/12/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1709 S AGNER ST
OTTAWA OH, 45875-1613, US
Phone (419) 969-9526
Fax
Business Location
1709 S. AGNER ST.
OTTAWA OH, 45875, US
Phone (419) 969-9526
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN.111715
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According to our database, Sara Hulda Stark LPN NPI is 1497989966, taxonomy code is 164W00000X and license number is PN.111715, license state is located at Ohio. Sara Hulda Stark LPN physically located at 1709 S Agner St, Ottawa OH, 45875-1613. NPI Number Sara Hulda Stark LPN has the Individual type.

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1497989966 NPI number is provided on an as is basis without warranty of any kind. 1497989966 is maintained by the National Plan & Provider Enumeration System. The contents of Sara Hulda Stark LPN are for informational purposes only.