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Jacqueline Davidson-Hamlin

Licensed Practical Nurse in Willoughby, OH. Individual provider (NPI-1).

NPI number1679129456
StatusActive
Last updated in NPPESAug 16, 2019

Details

NPI
1679129456
Entity type
Individual (NPI-1)
Name
Jacqueline Davidson-Hamlin
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 16, 2019
Last updated
Aug 16, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse156964OHYes

Practice location

38882 Mentor Ave
Willoughby, OH 44094-7875

Phone 440-578-8200

Mailing address

38882 Mentor Ave
Willoughby, OH 44094-7875

Phone 440-578-8200

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