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Individual

MARK OTIS SHEARER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
603 ROSARY DR, CORNING, IA 50841-1683
(641) 322-3121
Mailing address
603 ROSARY DR, CORNING, IA 50841-1683

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004837
IA
225100000X
Physical Therapist
3026
NE

Other

Enumeration date
08/22/2017
Last updated
03/17/2018
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