Individual
DONOVAN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 W FUNDERBURG RD APT O2, FAIRBORN, OH 45324-2846
(513) 807-2881
Mailing address
165 W FUNDERBURG RD APT O2, FAIRBORN, OH 45324-7200
(513) 807-2881
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OH
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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