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Individual
SHAYNA BEAR BACH
Active
Individual
SHAYNA BEAR BACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.323059
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439249
—
OH
Enumeration date
04/13/2021
Last updated
05/09/2021
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