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Individual

JESSICA L WOBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
630 EATON AVE, HAMILTON, OH 45013-2767
(513) 867-2315
(513) 867-2296
Mailing address
630 EATON AVE, HAMILTON, OH 45013-2767
(513) 867-2315
(513) 867-2296

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35126021
OH
2085R0001X
Radiation Oncology Physician
4301096536
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0129149
OH
Enumeration date
07/12/2010
Last updated
11/13/2020
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