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AUDREA NICHOLE OAKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7007 POWERS BLVD, SUITE 207, PARMA, OH 44129-5437
(440) 743-3000
Mailing address
PO BOX 771898, DETROIT, MI 48277-1898
(440) 879-0081
(440) 879-0084

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-003596
OH
363A00000X
Physician Assistant
PA07555
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0078590
OH
Enumeration date
01/24/2012
Last updated
03/04/2019
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