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Individual

CARLY SHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
101 S SHAFER ST APT C11, ATHENS, OH 45701-2461
(937) 570-0987
Mailing address
8595 W COVINGTON GETTYSBURG RD, COVINGTON, OH 45318-9701
(937) 570-0987

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/17/2019
Last updated
01/17/2019
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