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Individual

CASSIDY JO FAIRMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
835 HOSPITAL RD, INDIANA, PA 15701-3629
(724) 357-7000
Mailing address
931 STONEBRAKER RD, INDIANA, PA 15701-9277
(724) 599-8944

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
05/25/2021
Last updated
04/03/2024
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