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Individual

CHERYL L JEFFERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1661 HOLLAND RD, MAUMEE, OH 43537-4207
(419) 843-7800
(419) 843-7800
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 473-3561

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
COA 11619-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
COA11619NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1144533159
MI
05
3070948
OH
01
COA11619NP
OH CNP LICENSE
OH
Enumeration date
07/19/2010
Last updated
07/21/2022
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