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Individual
MRS. ANGELA RENEE SHIRK
Active
Individual
MRS. ANGELA RENEE SHIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
358304
OH
163WG0600X
Gerontology Registered Nurse
358304
OH
163WH0200X
Home Health Registered Nurse
358304
OH
Other
Enumeration date
08/17/2011
Last updated
08/21/2011
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