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Individual

JEANNE HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
QBS

Contact information

Practice address
30432 EUCLID AVE, SUITE #224, WICKLIFFE, OH 44092-1578
(440) 228-0464
Mailing address
14 LOIS LN, CHARDON, OH 44024-9203
(440) 228-0464

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
OH
246Z00000X
Other Specialist/Technologist
247200000X
Other Technician
Primary
OH

Other

Enumeration date
02/07/2012
Last updated
06/26/2015
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