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Individual

ASHLEY FECIUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
500 WAKEFIELD DR, CORTLAND, OH 44410-1504
(330) 638-4010
Mailing address
500 WAKEFIELD DR, CORTLAND, OH 44410-1504
(330) 638-4010
(330) 638-1540

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004157
OH

Other

Enumeration date
10/30/2014
Last updated
07/15/2015
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