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Individual

MS. LORI SHELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
7533 CENTER ST, MENTOR, OH 44060-6001
(440) 205-1714
(440) 205-1792
Mailing address
8240 RUSHTON DR, MENTOR, OH 44060-2025
(440) 205-1714
(440) 205-1792

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000194
OH

Other

Enumeration date
03/02/2007
Last updated
06/26/2013
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