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Fauster Cameron Inc., Dba Defiance Clinic
Multi-Specialty Clinic/Center in Continental, Ohio
NPI 1659573046

Fauster Cameron Inc., Dba Defiance Clinic is a Multi-Specialty Clinic/Center based in Continental, OH and is specialized in Multi-Specialty. Fauster Cameron Inc., Dba Defiance Clinic practices in Continental, OH. The NPI Number for Fauster Cameron Inc., Dba Defiance Clinic is 1659573046 and holds a License No. (Ohio).

The current practice location address for Fauster Cameron Inc., Dba Defiance Clinic is 102 West Ash St, Continental, OH and can be reached out via phone at 419-596-3133.

Location: 102 West Ash St, Continental, OH, 45831
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659573046
Provider Name
Fauster Cameron Inc., Dba Defiance Clinic
Credential
Provider Entity Type
Organization
Address
102 West Ash St, Continental, OH, 45831
Phone Number
419-596-3133
Fax Number
Provider Enumeration Date
06/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0121746 05 OH
institution
Provider Business Practice Location Address Details
Address
102 West Ash St
City
Continental
State
Ohio
Zip
45831
Phone Number
419-596-3133
Fax Number
person
Provider Business Mailing Address Details
Address
102 West Ash St
City
Continental
State
Ohio
Zip
45831
Phone Number
419-596-3133
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
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Definition
Definition to come...
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