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Stacey Lynn Graham
Student in an Organized Health Care Education/Training Program in Wooster, Ohio
NPI 1407451768

Stacey Lynn Graham is a Student in an Organized Health Care Education/Training Program based in Wooster, OH. Stacey Lynn Graham practices in Wooster, OH. The NPI Number for Stacey Lynn Graham is 1407451768 and holds a License No. (Ohio).

The current practice location address for Stacey Lynn Graham is 2688 E Smithville Western Rd, Wooster, OH and can be reached out via phone at 133-028-4757 and via fax at 330-345-1323.

Location: 2688 E Smithville Western Rd, Wooster, OH, 44691-1051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407451768
Provider Name
Stacey Lynn Graham
Credential
Provider Entity Type
Individual
Gender
Female
Address
2688 E Smithville Western Rd, Wooster, OH, 44691-1051
Phone Number
133-028-4757
Fax Number
330-345-1323
Provider Enumeration Date
12/03/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0145723 05 OH
institution
Provider Business Practice Location Address Details
Address
2688 E Smithville Western Rd
City
Wooster
State
Ohio
Zip
44691-1051
Phone Number
133-028-4757
Fax Number
330-345-1323
person
Provider Business Mailing Address Details
Address
2688 E Smithville Western Rd
City
Wooster
State
Ohio
Zip
44691-1051
Phone Number
133-028-4757
Fax Number
330-345-1323
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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