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1104853837
YVONNE WOODFORD JACKSON
CANTON, OH
NPI
1104853837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OH RN169055)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
-- YVONNE WOODFORD JACKSON CRNA
2600 SIXTH STREET SW OHIO HOSPITAL BASED PHYSICIAN CORP
CANTON, OH 44710
Phone number: 330-363-7462
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Mailing Address
-- YVONNE WOODFORD JACKSON CRNA
2600 SIXTH STREET SW OHIO HOSPITAL BASED PHYSICIAN CORP
CANTON, OH 44710
Phone number: 330-363-7462
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