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Individual

DR. JAIME L GO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6315 PEARL RD, STE 206, PARMA HEIGHTS, OH 44130-3082
(440) 884-2126
(440) 884-2127
Mailing address
1434 HOMESTEAD CREEK DR, BROADVIEW HTS, OH 44147-2582
(440) 884-2126

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
47885
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0652600
OH
Enumeration date
10/03/2005
Last updated
09/11/2011
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