STACEY ANTLE

GRANVILLE, OH
NPI1336709799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OH  APRN.CNP.024830)
Enumeration Date2019-06-18
Last Update Date2021-01-29
Business Address
STACEY ANTLE APRN
594 NEWARK GRANVILLE RD
GRANVILLE, OH 43023-1436
Phone number: 740-618-2322
Mailing Address
STACEY ANTLE APRN
594 NEWARK GRANVILLE RD
GRANVILLE, OH 43023-1436
Phone number: 740-618-2322
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