Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Jan 24, 2024
License(s)
50.008488RX (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 933432 | Cleveland, OH 44193-0039 | 937-641-5072 |
| LOCATION | 1 CHILDRENS PLZ | Dayton, OH 45404-1815 | 937-641-3000 |
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