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Individual
SHINY GEORGE
Active
Individual
SHINY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.308675
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0028330
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0434641
—
OH
Enumeration date
02/02/2021
Last updated
08/19/2025
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