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Individual

JENNIE LYNNE NEWTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RA

Contact information

Practice address
228 N BARRON ST, EATON, OH 45320-1704
(937) 456-7694
(937) 456-7753
Mailing address
131 N MAIN ST LOWR APT, ELDORADO, OH 45321-5007
(937) 733-2494

Taxonomy

Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
RA.162092
OH

Other

Enumeration date
10/15/2019
Last updated
10/15/2019
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