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Individual

MS. JEAN MARIE AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
2150 W CENTRAL AVE, TOLEDO, OH 43606-3834
(419) 291-8701
Mailing address
2150 W CENTRAL AVE, TOLEDO, OH 43606-3834
(419) 291-8701

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-08520
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194735910
MI
05
2695114
OH
Enumeration date
08/08/2006
Last updated
01/15/2018
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