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1396418752
TATIANA MATUSEVICH FARTHING
ROANOKE, VA
NPI
1396418752
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Former Name
TATSIANA IVANOVNA FARTHING
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110009047)
Enumeration Date
2021-07-30
Last Update Date
2023-11-29
Business Address
TATIANA MATUSEVICH FARTHING PA-C
1345 PLANTATION RD NE
ROANOKE, VA 24012-5712
Phone number: 833-510-4357
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Mailing Address
TATIANA MATUSEVICH FARTHING PA-C
4600 MONTGOMERY RD STE 400
CINCINNATI, OH 45212-2600
Phone number:
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