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Individual

DEBORAH A FARIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6139 GLENWAY AVE, MEDICAL DEPARTMENT, CINCINNATI, OH 45211-6312
(513) 346-3399
Mailing address
3688 CRESTNOLL LN, CINCINNATI, OH 45211-1816
(513) 661-0010

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.000537
OH

Other

Enumeration date
11/07/2006
Last updated
01/05/2016
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