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Derek Justice Jay
Medical-Surgical Registered Nurse in Coldwater, Ohio
NPI 1427819721

Derek Justice Jay is a Medical-Surgical Registered Nurse based in Saint Marys, OH and is specialized in Medical-Surgical. Derek Justice Jay practices in Coldwater, OH. The NPI Number for Derek Justice Jay is 1427819721 and holds a License No. 494801 (Ohio).

The current practice location address for Derek Justice Jay is 800 W Main St, Coldwater, OH and can be reached out via phone at 419-678-4321.

Location: 800 W Main St, Coldwater, OH, 45885-1524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427819721
Provider Name
Derek Justice Jay
Credential
Provider Entity Type
Individual
Gender
Male
Address
800 W Main St, Coldwater, OH, 45885-1524
Phone Number
419-678-4321
Fax Number
Provider Enumeration Date
01/23/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 W Main St
City
Coldwater
State
Ohio
Zip
45828-1613
Phone Number
419-678-4321
Fax Number
person
Provider Business Mailing Address Details
Address
800 W Main St
City
Coldwater
State
Ohio
Zip
45828-1613
Phone Number
419-678-4321
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
163WM0705X
License No.
494801 (Ohio)
Definition
Definition to come...
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