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Individual

JESSICA M FAULKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7495 STATE RD, SUITE 335, CINCINNATI, OH 45255-2498
(513) 232-5512
(513) 232-3341
Mailing address
7495 STATE RD, SUITE 335, CINCINNATI, OH 45255-2498
(513) 232-5512
(513) 232-3341

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50003012
OH

Other

Enumeration date
12/24/2009
Last updated
04/21/2015
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