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Organization

JS AESTHETICS

Active
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Organization

JS AESTHETICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JODI SPERBER DO (PRESIDENT)
(937) 371-7000
Entity
Organization

Contact information

Practice address
2400 PASSAGE KEY TRL, XENIA, OH 45385-9212
(937) 371-7000
(937) 534-0166
Mailing address
2400 PASSAGE KEY TRL, XENIA, OH 45385-9212
(937) 371-7000
(937) 534-0166

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
34007948
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2538025
OH
Enumeration date
02/25/2014
Last updated
02/25/2014
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