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Individual
MISS JENNIFER MARIE ATWELL
Active
Individual
MISS JENNIFER MARIE ATWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED PROVIDER
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
2971324
OH
251E00000X
Home Health Agency
Primary
2971324
OH
251J00000X
Nursing Care Agency
2971324
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2971324
—
OH
01
—
7002406
OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES CONTRACT NUMBER
OH
Enumeration date
11/20/2012
Last updated
11/20/2012
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