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Individual
SHELLEY FOGT
Active
Individual
SHELLEY FOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.18696
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205648
—
OH
Enumeration date
04/13/2016
Last updated
02/27/2025
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