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Individual

JAMIE LEEANN MEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 298-3399
Mailing address
1400 SOARING HEIGHTS DR, DAYTON, OH 45440-4318
(937) 310-1075

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1071754
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0072118
OH
01
P01267154
RAILROAD MEDICARE
OH
Enumeration date
09/20/2006
Last updated
01/13/2021
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