Individual
STAN SHOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 SHERWOOD GREEN CT, MASON, OH 45040-2257
(513) 238-1901
Mailing address
200 SHERWOOD GREEN CT, MASON, OH 45040-2257
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401199400211
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088244
—
OH
Enumeration date
10/05/2014
Last updated
10/05/2014
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