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Individual

ALISA MARIE EARLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5327 HUTCHINSON RD, BATAVIA, OH 45103-9511
(139) 814-1705
(513) 981-4171
Mailing address
5327 HUTCHINSON RD, BATAVIA, OH 45103-9511
(139) 814-1705
(513) 981-4171

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
TC172
KY
363A00000X
Physician Assistant
Primary
OH

Other

Enumeration date
09/09/2015
Last updated
07/09/2024
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