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Individual

GABRIEL FACTORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 SAINT CLAIR AVE, SAINT MARYS, OH 45885-2400
(419) 394-3335
(419) 394-8485
Mailing address
200 SAINT CLAIR AVE, SAINT MARYS, OH 45885-2400
(419) 394-3335
(419) 394-8485

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35-041813
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0517864
OH
Enumeration date
06/29/2006
Last updated
07/08/2007
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