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Individual

DR. JACLYN OLIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
721 E MILLTOWN RD, WOOSTER, OH 44691-1331
(330) 287-4500
Mailing address
1562 ROSEWOOD DR, WOOSTER, OH 44691-2572
(330) 287-4500

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6557
OH
152WC0802X
Corneal and Contact Management Optometrist
6557
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043662927
OH
Enumeration date
07/05/2016
Last updated
11/21/2022
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