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Individual

CAITLIN CHABUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
7677 YANKEE ST STE 140, DAYTON, OH 45459-3475
(937) 454-9527
(937) 454-9532
Mailing address
7677 YANKEE ST STE 140, DAYTON, OH 45459-3475
(937) 454-9527
(937) 454-9532

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004070
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0108307
OH
Enumeration date
08/05/2014
Last updated
11/25/2020
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