Individual
JACLYN M PACHUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
1475 EDGEWOOD DR, APT. I-8, LIMA, OH 45805-1057
(614) 578-1276
Mailing address
1475 EDGEWOOD DR, APT. I-8, LIMA, OH 45805-1057
(614) 578-1276
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003506
OH
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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