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Individual

JANE SCHAEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
6100 ROCKSIDE WOODS BLVD N, SUITE 425, INDEPENDENCE, OH 44131-2366
(216) 643-2780
Mailing address
308 N PLEASANT ST, OBERLIN, OH 44074-1114

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
019744021
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
COA 01288
OH

Other

Enumeration date
08/09/2006
Last updated
02/12/2013
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