Individual
MRS. JESSICA ANNETTE HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 S BROADWAY ST, BLANCHESTER, OH 45107-1465
(937) 783-2600
(937) 783-3086
Mailing address
700 S BROADWAY ST, BLANCHESTER, OH 45107-1465
(937) 783-2600
(937) 783-3086
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002164
OH
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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