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Individual
JENNIFER MAE OWENS
Active
Individual
JENNIFER MAE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
161231
OH
164W00000X
Licensed Practical Nurse
Primary
27051593C
IN
164W00000X
Licensed Practical Nurse
LPN.161231
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239054
—
OH
Enumeration date
11/10/2016
Last updated
12/11/2024
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