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Individual
JAYLA M BALBAUGH
Active
Individual
JAYLA M BALBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.010106RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170033
—
OH
Enumeration date
01/22/2025
Last updated
04/15/2026
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