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Individual

JACQUELYN ANNE EUREKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
6605 CENTER RD, VALLEY CITY, OH 44280-9748
(330) 483-3135
Mailing address
17045 GREENWOOD DR, STRONGSVILLE, OH 44149-5822
(330) 636-1908

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
386857
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0026802
OH

Other

Enumeration date
02/23/2020
Last updated
05/13/2022
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