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Individual

ROBERTA ANN SHEPHERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4648 AIRWAY RD, DAYTON, OH 45431-1333
(937) 253-0295
Mailing address
4648 AIRWAY RD, DAYTON, OH 45431-1333
(937) 253-0295

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
04/06/2023
Last updated
04/06/2023
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