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Individual

JASON MITCHELL PADUCHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
6755 W CENTRAL AVE, TOLEDO, OH 43617-1109
(567) 585-0075
Mailing address
333 N SUMMIT ST STE 700, TOLEDO, OH 43604-1531

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0031417
OH
363L00000X
Nurse Practitioner
RN.414809
OH

Other

Enumeration date
05/26/2022
Last updated
04/18/2024
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