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1689658031
STACY RUTH ROSE
WILLOUGHBY, OH
NPI
1689658031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: OH COA.06089-NP)
Enumeration Date
2005-11-30
Last Update Date
2021-03-03
Business Address
Mrs. STACY RUTH ROSE CRNP
4176 STATE ROUTE 306
WILLOUGHBY, OH 44094-9203
Phone number: 440-918-4630
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Mailing Address
Mrs. STACY RUTH ROSE CRNP
7590 AUBURN ROAD, SUITE 014 ATTN: MED STAFF
CONCORD TWP, OH 44077-9176
Phone number: 440-354-1899
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