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Individual

JENNIFER A BRUYERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1540 CINNAMON DR S, WEST SALEM, OH 44287-9420
(330) 352-2540
Mailing address
3664 N DELWOOD DR, PORT CLINTON, OH 43452-9722
(330) 352-2540

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
09/14/2020
Last updated
11/13/2020
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