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Jackie E. Wolgamott
Home Health Aide in Leesburg, Ohio
NPI 1568060523

Jackie E. Wolgamott is a Home Health Aide based in Leesburg, OH. Jackie E. Wolgamott practices in Leesburg, OH. The NPI Number for Jackie E. Wolgamott is 1568060523 and holds a License No. 0105027 (Ohio).

The current practice location address for Jackie E. Wolgamott is 111 Forrest Ave, Leesburg, OH and can be reached out via phone at 330-260-0311.

Location: 111 Forrest Ave, Leesburg, OH, 45135-9620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568060523
Provider Name
Jackie E. Wolgamott
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 Forrest Ave, Leesburg, OH, 45135-9620
Phone Number
330-260-0311
Fax Number
Provider Enumeration Date
10/13/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0105027 05 OH
institution
Provider Business Practice Location Address Details
Address
111 Forrest Ave
City
Leesburg
State
Ohio
Zip
45135-9620
Phone Number
330-260-0311
Fax Number
person
Provider Business Mailing Address Details
Address
111 Forrest Ave
City
Leesburg
State
Ohio
Zip
45135-9620
Phone Number
330-260-0311
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
0105027 (Ohio)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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