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Individual

JAMIE WYSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
6495 OLD TROY PIKE, HUBER HEIGHTS, OH 45424-3648
(937) 236-6054
Mailing address
6530 STILLCREST WAY, DAYTON, OH 45414-5908
(937) 898-5160

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03126070
OH
183500000X
Pharmacist
1999140343
MO

Other

Enumeration date
11/01/2011
Last updated
11/01/2011
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