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Individual
SHELLEY A MCCORMICK
Active
Individual
SHELLEY A MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
401331591211
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078766
—
OH
01
—
1601145
DODD
OH
Enumeration date
11/07/2013
Last updated
11/07/2013
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