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Individual

DR. JEREMY SHAWN STANDRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4623 WESLEY AVE, SUITE C, CINCINNATI, OH 45212-2246
(513) 841-1122
Mailing address
3503 BRENTWOOD AVE, CINCINNATI, OH 45208-1712
(614) 214-1815

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
008898
OH

Other

Enumeration date
04/13/2008
Last updated
04/13/2008
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