Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Jun 18, 2018
License(s)
50.005605RX (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2139 AUBURN AVE # 4-7 | Cincinnati, OH 45219-2906 | |
| LOCATION | 2139 AUBURN AVE STE D | Cincinnati, OH 45219-2906 | 513-585-1544 |
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