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Jeanise B Upshaw

Driver in Twinsburg, OH. Individual provider (NPI-1).

NPI number1174239271
StatusActive
Last updated in NPPESJan 23, 2023

Details

NPI
1174239271
Entity type
Individual (NPI-1)
Name
Jeanise B Upshaw
Sex
Female
Sole proprietor
No
Enumeration date
Jan 23, 2023
Certification date
Jan 23, 2023
Last updated
Jan 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172A00000X Driver––Yes

Practice location

3336 Blossom Trl
Twinsburg, OH 44087-4922

Phone 513-488-4858

Mailing address

3336 Blossom Trl
Twinsburg, OH 44087-4922

Phone 513-488-4858

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