Individual
DEBRA MARIE JAGIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4115 BEECH DR, WEST SALEM, OH 44287-9655
(440) 821-5502
Mailing address
4115 BEECH DR, WEST SALEM, OH 44287-9655
(440) 821-5502
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN139588-M-IV
OH
Other
Enumeration date
01/23/2011
Last updated
01/23/2011
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