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Mary Jennifer Wootten
Driver in Medina, Ohio
NPI 1063148948

Mary Jennifer Wootten is a Driver based in Medina, OH. Mary Jennifer Wootten practices in Medina, OH. The NPI Number for Mary Jennifer Wootten is 1063148948 and holds a License No. (Ohio).

The current practice location address for Mary Jennifer Wootten is 4989 Shady Brooke Run, Medina, OH and can be reached out via phone at 440-351-1198.

Location: 4989 Shady Brooke Run, Medina, OH, 44256-8282
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063148948
Provider Name
Mary Jennifer Wootten
Credential
Provider Entity Type
Individual
Gender
Female
Address
4989 Shady Brooke Run, Medina, OH, 44256-8282
Phone Number
440-351-1198
Fax Number
Provider Enumeration Date
07/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4989 Shady Brooke Run
City
Medina
State
Ohio
Zip
44256-8282
Phone Number
440-351-1198
Fax Number
person
Provider Business Mailing Address Details
Address
4989 Shady Brooke Run
City
Medina
State
Ohio
Zip
44256-8282
Phone Number
440-351-1198
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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