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Individual

JACQUELYN M LANDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
400 WABASH AVE, AKRON, OH 44307-2433
(330) 344-6000
Mailing address
224 W EXCHANGE ST, SUITE 360, AKRON, OH 44302-1704
(330) 344-6401
(330) 344-1714

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-166888
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000023843
OH ANTHEM PIN
OH
05
2278851
OH
01
P00310374
OH TRAVELERS PIN
OH
Enumeration date
09/25/2006
Last updated
07/09/2007
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