Individual
KELLY RENEE SHOBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
540 N BRUSH ST, APT 21, FREMONT, OH 43420-1467
(419) 334-4513
Mailing address
540 N BRUSH ST, APT 21, FREMONT, OH 43420-1467
(419) 334-4513
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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