Stacey Lynn Graham
Stacey Lynn Graham is a Student in an Organized Health Care Education/Training Program in Wooster, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2020
Practice location Address checks out
2688 E Smithville Western RdWooster, OH 44691-1051
Phone: (133) 028-4757
Fax: (330) 345-1323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (OH) |
|---|
Record details
| NPI number | 1407451768 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 3, 2020 |
| Last updated in NPPES | December 3, 2020 |
| Certification date | December 3, 2020 |
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