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Individual

JULIE A DAVIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
20000 HARVARD AVE, SUITE 1002, WARRENSVILLE HEIGHTS, OH 44122-6805
(216) 991-2600
(330) 255-5088
Mailing address
20000 HARVARD AVE, SUITE 1002, WARRENSVILLE HEIGHTS, OH 44122-6805
(216) 991-2600
(330) 255-5088

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50000981
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0097555
OH
Enumeration date
06/13/2006
Last updated
04/24/2017
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