Individual
JAMIE L O'DEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1111
Mailing address
PO BOX 715128, COLUMBUS, OH 43271-5128
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN248085
OH
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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