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NPI Code Detail

MEDICARE: SHERYL ST. CLAIR

MEDICARE: SHERYL ST. CLAIR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered NurseRN-217633OH

General Provider Information

NPI Number : 1962809319
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERYL ST. CLAIR
Provider Business Mailing Address
First Line : 1001 PARK AVE
Second Line :
City : FOSTORIA
State : OH
Zip : 44830-1455
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1001 PARK AVE
Second Line :
City : FOSTORIA
State : OH
Zip : 44830-1455
Country : US
Telephone Number : 149-436-4110
Fax Number : 419-436-4118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2014
Last Update Date : 12/01/2014

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Directions to “ SHERYL ST. CLAIR ” Practice Location

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