Individual
DEBORA PETANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7500
Mailing address
1425 ELBUR AVE, LAKEWOOD, OH 44107-4727
(216) 703-0140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006079
OH
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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