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Individual

MR. JEFFREY L. GOTIEAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNA

Contact information

Practice address
326 TOWNE CT E, GAHANNA, OH 43230-2726
(614) 622-5901
Mailing address
326 TOWNE CT E, GAHANNA, OH 43230-2726
(614) 622-5901

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401190820111
OH

Other

Enumeration date
10/21/2011
Last updated
10/21/2011
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