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NPI Code Detail

MEDICARE: MRS. STEPHANIE ANN JABBOUR LPN

MEDICARE:  MRS. STEPHANIE ANN JABBOUR  LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NursePN 109060OH

General Provider Information

NPI Number : 1356590509
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE ANN JABBOUR LPN
Provider Business Mailing Address
First Line : 2346 RICHMOND RD
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44221-3716
Country : US
Telephone Number : 330-929-7779
Fax Number :
Provider Business Practice Location Address
First Line : 2346 RICHMOND RD
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44221-3716
Country : US
Telephone Number : 330-929-7779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2008
Last Update Date : 09/11/2008

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Directions to “ MRS. STEPHANIE ANN JABBOUR LPN” Practice Location

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