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Individual
MR. NATHAN E SHIPLEY
Active
Individual
MR. NATHAN E SHIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
FL
372600000X
Adult Companion
—
FL
374U00000X
Home Health Aide
—
FL
376G00000X
Nursing Home Administrator
—
FL
376K00000X
Nurse's Aide
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#553509
ATN
—
05
—
ATN#553509
—
FL
Enumeration date
06/23/2014
Last updated
06/23/2014
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