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Individual

KELLEY L. PASTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9220 MENTOR AVE, MENTOR, OH 44060-6412
(440) 354-9924
(877) 242-9583
Mailing address
9485 MENTOR AVENUE, SUITE 210, MENTOR, OH 44060-8713
(440) 205-5848
(440) 255-5548

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002708
OH

Other

Enumeration date
11/15/2007
Last updated
09/01/2021
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