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Individual

DR. JEROME A KLOBUTCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
734 US HIGHWAY 42, ASHLAND, OH 44805-9514
(773) 580-8971
Mailing address
734 US HIGHWAY 42, ASHLAND, OH 44805-9514
(773) 580-8971

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
036061482
IL
174400000X
Specialist
Primary
35.092769
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036061482
IL
Enumeration date
06/13/2005
Last updated
08/08/2014
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