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Individual
JESSICA KALLENBORN
Active
Individual
JESSICA KALLENBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34.016388
OH
207Q00000X
Family Medicine Physician
Primary
34016388
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
34.016388
OH
Other
Enumeration date
04/07/2020
Last updated
05/27/2026
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