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Individual

JEANNINE LOUISE MARONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-0261
Mailing address
5455 N MARGINAL RD, APARTMENT #328, CLEVELAND, OH 44114-3937

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003188
OH

Other

Enumeration date
11/12/2010
Last updated
07/10/2012
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