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Individual

KAITLYN H JAKUBEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(440) 233-8181
(440) 233-8182
Mailing address
PO BOX 638144, CINCINNATI, OH 45263-8144
(440) 233-8181
(440) 233-8182

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.319699
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3128332
OH
Enumeration date
01/29/2011
Last updated
06/06/2012
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