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Individual

JENNIFER HASELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5300 HARROUN RD, SUITE 304, SYLVANIA, OH 43560-2182
(419) 824-1100
(419) 824-1771
Mailing address
5300 HARROUN RD, SUITE 304, SYLVANIA, OH 43560-2182
(419) 824-1100
(419) 824-1771

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA17566NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0140351
OH
Enumeration date
07/20/2015
Last updated
10/30/2017
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