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Individual

JENNY L DEBRUER

Active
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Individual

JENNY L DEBRUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35-08-5935
OH
208000000X
Pediatrics Physician
Primary
35.085935
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OHIO LICENSE
35.085935
OH
Enumeration date
06/13/2006
Last updated
06/29/2015
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