Individual
DEBORAH A MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7590 AUBURN RD, CONCORD TWP, OH 44077-9176
(440) 375-8100
Mailing address
PO BOX 715507, COLUMBUS, OH 43271-0001
(440) 375-8100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-000542
OH
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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