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Individual

JAMIE JO FREELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9908 BASSETT RD, ATHENS, OH 45701-3684
(740) 593-6152
(740) 594-3013
Mailing address
PO BOX 724, ATHENS, OH 45701-0724
(740) 592-6724
(740) 592-6728

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
408722
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2864002
OH
Enumeration date
03/01/2018
Last updated
06/16/2018
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