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Individual

ROBERT A JASPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 436-4658
Mailing address
8280 YANKEE ST, CENTERVILLE, OH 45458-1806
(937) 436-4658

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
35043949
OH
207P00000X
Emergency Medicine Physician
Primary
35043949
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0742834
OH
Enumeration date
12/30/2005
Last updated
06/03/2015
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