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Individual

JAMIE LYNN WOISSOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1645 W 3RD ST, ASHTABULA, OH 44004-2804
(440) 474-2238
Mailing address
1645 W 3RD ST, ASHTABULA, OH 44004-2804
(440) 474-2238

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN111451
OH

Other

Enumeration date
08/10/2010
Last updated
08/10/2010
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