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1619974730
FAYE MICHELLE IMM
LIMA, OH
NPI
1619974730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OH 50.002222)
Enumeration Date
2005-07-05
Last Update Date
2018-01-15
Business Address
Ms. FAYE MICHELLE IMM PA
801 MEDICAL DR SUITE A
LIMA, OH 45804-4099
Phone number: 419-222-6622
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Mailing Address
Ms. FAYE MICHELLE IMM PA
801 MEDICAL DR SUITE A
LIMA, OH 45804-4031
Phone number: 419-222-6622
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