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Individual

JEAN M KNUDSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
26376 JOHN RD, OLMSTED FALLS, OH 44138-1277
(440) 235-7101
Mailing address
PO BOX 246, NORTH OLMSTED, OH 44070-0246
(440) 250-7301

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA 10790 NP
OH

Other

Enumeration date
11/04/2009
Last updated
11/04/2009
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