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JAY R BLACKMUR AA

Nursing Yellow Pages

Westlake, Ohio

Provider NPI: 1104819028

Provider Information:
 JAY R BLACKMUR AA


Practice Location:
29000 CENTER RIDGE RD  WESTLAKE, OH 44145 US
Tel: 440-827-5000  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367H00000XPhysician Assistants & Advanced Practice Nursing Providers
Anesthesiologist Assistant
OH67-000061

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM BCBS000000334354OH01
2292808OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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