Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Oct 1, 2013
License(s)
0010-04536 (NC), 50.007581RX (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3333 BURNET AVE ML 9016 | Cincinnati, OH 45229 | 513-803-8092 |
| MAILING | 3333 BURNET AVE ML 9016 | Cincinnati, OH 45229 | 513-803-8092 |
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