Provider Information for 1194124065
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Mr. PAUL DONALD WESS PCC-S
Sex: Male
NPI: 1194124065
Last Updated: 2014-08-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1194124065 | ||||||||
| Enumeration Date | 2014-08-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4721 READING RD CINCINNATI, OH 45237-6107 United States Phone: 513-363-6367 | Fax: | ||||||||
| Primary Practice Address | 4721 READING RD CINCINNATI, OH 45237-6107 United States Phone: 513-363-6367 | Fax: | ||||||||
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