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1396802096
JACQUELINE COUNTRYMAN
DAYTON, OH
NPI
1396802096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OH 35-07-3384-C)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
Dr. JACQUELINE COUNTRYMAN MD
601 S EDWIN C MOSES BLVD EAST BUILDING, 4TH FLOOR
DAYTON, OH 45408-1424
Phone number: 937-276-8333
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Mailing Address
Dr. JACQUELINE COUNTRYMAN MD
601 S EDWIN C MOSES BLVD EAST BUILDING, 4TH FLOOR
DAYTON, OH 45408-1424
Phone number: 937-276-8333
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