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1912423914
MARK DAVID STAATS
BEACHWOOD, OH
NPI
1912423914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OH APRN.CNP.021564)
Enumeration Date
2017-08-21
Last Update Date
2017-08-21
Business Address
MARK DAVID STAATS CNP
3999 RICHMOND RD
BEACHWOOD, OH 44122-6046
Phone number: 216-593-5800
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Mailing Address
MARK DAVID STAATS CNP
3186 WEXFORD BLVD
STOW, OH 44224-2860
Phone number: 330-329-0093
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