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Organization
FAUSTER CAMERON INC., DBA DEFIANCE CLINIC
Active
Organization
FAUSTER CAMERON INC., DBA DEFIANCE CLINIC
Active
Other names
Continental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD L PETER (CEO)
(419) 784-1414
Entity
Organization
Contact information
Practice address
102 WEST ASH ST, CONTINENTAL, OH 45831
(419) 596-3133
Mailing address
102 WEST ASH ST, CONTINENTAL, OH 45831
(419) 596-3133
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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