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Individual

ELAINE VICTORIA SELOS-HOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5700 COOPER FOSTER PARK RD W, LORAIN, OH 44053-4152
(440) 204-7439
Mailing address
5700 COOPER FOSTER PARK ROAD LN20, LORAIN, OH 44053
(440) 204-7439
(440) 988-5652

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-001953
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000331783
ANTHEM
OH
Enumeration date
01/25/2006
Last updated
07/21/2022
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