Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
Aug 26, 2021
License(s)
50.007122 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 619 | Norwalk, OH 44857-0619 | 419-744-7792 |
| LOCATION | 3700 KOLBE RD | Lorain, OH 44053-1611 | 440-960-4000 |
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