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Individual

SAMUEL QUINCY GAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
8459 COLERAIN AVE, CINCINNATI, OH 45239-3938
(513) 815-3851
(859) 572-2326
Mailing address
8459 COLERAIN AVE, CINCINNATI, OH 45239-3938
(513) 815-3851
(513) 834-8944

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/16/2018
Last updated
06/07/2021
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