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Individual

MRS. SHERRI L ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1142 E 15TH ST, ASHTABULA, OH 44004-3628
(440) 964-3013
Mailing address
1142 E 15TH ST, ASHTABULA, OH 44004-3628
(440) 964-3013

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2662560
OH
Enumeration date
01/12/2007
Last updated
07/08/2007
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