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Individual

MRS. JAMIE BABCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
970 W WOOSTER ST, BOWLING GREEN, OH 43402-2643
(419) 352-5899
Mailing address
220 MAPLE ST, WOODVILLE, OH 43469-1143

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
333100
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
13398
OH

Other

Enumeration date
07/12/2012
Last updated
07/12/2012
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