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Individual

JAMAICA MARIE WHITESIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
477 MILL ST, SABINA, OH 45169-1204
(740) 572-7525
Mailing address
477 MILL ST, SABINA, OH 45169-1204
(740) 572-7525

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN113142
OH

Other

Enumeration date
02/03/2010
Last updated
10/31/2024
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