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Individual

JAMAAL ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1115 PARKSIDE RD, CLEVELAND, OH 44108-2969
(216) 244-8617
Mailing address
1115 PARKSIDE RD, CLEVELAND, OH 44108-2969

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
351823
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
95001616
CA

Other

Enumeration date
02/19/2012
Last updated
01/23/2025
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