BRENDA K STICKLEY

WAUSEON, OH
NPI1114520046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: OH  2695463)
Enumeration Date2020-11-22
Last Update Date2020-11-22
Business Address
BRENDA K STICKLEY
610 E CHESTNUT ST
WAUSEON, OH 43567-1463
Phone number: 419-357-9292
Mailing Address
BRENDA K STICKLEY
610 E CHESTNUT ST
WAUSEON, OH 43567-1463
Phone number: 419-357-9292
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