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1780654608
JENNIFER L ELLEGOOD
SYLVANIA, OH
NPI
1780654608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50-002331)
Enumeration Date
2006-01-24
Last Update Date
2007-10-26
Business Address
-- JENNIFER L ELLEGOOD P.A.
5200 HARROUN RD
SYLVANIA, OH 43560-2168
Phone number: 419-824-1952
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Mailing Address
-- JENNIFER L ELLEGOOD P.A.
4841 MONROE ST SUITE 103
TOLEDO, OH 43623-4385
Phone number: 419-471-0493
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