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Individual

DANIEL C FAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
919 2ND ST NE, CANTON, OH 44704-1132
(330) 454-7917
Mailing address
919 2ND ST NE, CANTON, OH 44704-1132
(330) 454-7917

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OH

Other

Enumeration date
12/09/2010
Last updated
12/09/2010
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