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Individual

MR. JESSE MARK RASTETTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN NP-C

Contact information

Practice address
3761 MASSILLON RD, UNIONTOWN, OH 44685-7730
(330) 899-9085
Mailing address
3761 MASSILLON RD, UNIONTOWN, OH 44685-7730

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.022487
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.022487
OH

Other

Enumeration date
05/17/2018
Last updated
09/20/2018
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