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Individual

JANE A SIDWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8064 SOUTH AVE, BOARDMAN, OH 44512-6153
(440) 523-9966
(216) 584-2895
Mailing address
20265 EMERY RD, NORTH RANDALL, OH 44128-4122
(440) 523-9966
(216) 584-2895

Taxonomy

Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
APRN.CNS.16810
OH

Other

Enumeration date
10/11/2017
Last updated
10/11/2017
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