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Individual

JENNIFER A SWEET

Active
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Individual

JENNIFER A SWEET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35099211
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0069944
OH
01
2048816199IL
CARESOURCE
OH
01
35.099211
LICENSE
OH
01
9710907
AETNA
OH
Enumeration date
10/17/2009
Last updated
01/14/2021
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