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Individual

MRS. MELISSA MARIE HAIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8423 MARKET ST, STE 101, BOARDMAN, OH 44512-6778
(330) 729-8700
(330) 729-8701
Mailing address
8423 MARKET ST, STE 101, BOARDMAN, OH 44512-6778
(330) 729-8700
(330) 729-8701

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
006494
GA
363A00000X
Physician Assistant
Primary
50.002900
OH
363A00000X
Physician Assistant
MA053596
PA

Other

Enumeration date
09/15/2008
Last updated
09/15/2016
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