Individual
JEFFERY S MAGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPRS
Contact information
Practice address
113 WATER ST, ELYRIA, OH 44035-5329
(216) 235-2988
Mailing address
113 WATER ST, ELYRIA, OH 44035-5329
(216) 235-2988
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.005609
OH
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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