Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Nov 7, 2019
License(s)
50.006185RX (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 403 E 7TH ST | Mc Donald, OH 44437-1815 | |
| LOCATION | 1044 BELMONT AVE | Youngstown, OH 44504-1006 | 330-746-7211 |
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