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Individual

JAMIE LYNN WEESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
41489 ROSEWOOD ST, ELYRIA, OH 44035-1258
(440) 654-8732
Mailing address
41489 ROSEWOOD ST, ELYRIA, OH 44035-1258
(440) 654-8732

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
154547
OH

Other

Enumeration date
04/01/2014
Last updated
04/01/2014
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