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Individual

DR. JESSICA WOLFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD, MS

Contact information

Practice address
115 S TIPPECANOE DR, TIPP CITY, OH 45371-1194
(937) 667-1270
Mailing address
115 S TIPPECANOE DR, TIPP CITY, OH 45371-1194
(937) 667-1270

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6866
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6866
STATE LICENSE
OH
Enumeration date
06/01/2020
Last updated
08/21/2023
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