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Individual

JEAN A HOLDREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO PC

Contact information

Practice address
16687 ST CLAIR AVE, SUITE 108, EAST LIVERPOOL, OH 43920
(330) 386-5004
(330) 386-6355
Mailing address
16687 ST CLAIR AVE, SUITE 108, EAST LIVERPOOL, OH 43920
(330) 386-5004
(330) 386-6355

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0S009111L
PA
207R00000X
Internal Medicine Physician
Primary
34006738
OH

Other

Enumeration date
08/11/2006
Last updated
09/23/2011
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