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Individual

CARRIE B FAIRCHILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
610 W MAIN ST, WILMINGTON, OH 45177-2125
(937) 383-1040
Mailing address
PO BOX 931267, CLEVELAND, OH 44193-1484
(937) 383-1040

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50003408
OH

Other

Enumeration date
02/29/2012
Last updated
05/26/2021
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