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Individual

CHALIE ELAINE SORRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2415 N TOWNSHIP ROAD 73, TIFFIN, OH 44883-9202
(419) 455-5937
Mailing address
2415 N TOWNSHIP ROAD 73, TIFFIN, OH 44883-9202
(419) 455-5937

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
OH
376J00000X
Homemaker
Primary
OH

Other

Enumeration date
10/27/2023
Last updated
10/27/2023
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