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Individual

MS. JERI LYN KAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLMSW, LSW, LPN

Contact information

Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
4100 W 3RD ST, DAYTON, OH 45428-9000

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6801094511
MI
104100000X
Social Worker
Primary
S.1201471
OH
164W00000X
Licensed Practical Nurse
4703091113
MI

Other

Enumeration date
07/18/2013
Last updated
07/18/2013
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