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Individual

LATONYA R SHOULDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5361 MALLARD CIR, KENT, OH 44240-5626
(216) 536-2991
Mailing address
5361 MALLARD CIR, KENT, OH 44240-5626
(216) 536-2991

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.024294
OH

Other

Enumeration date
03/15/2019
Last updated
03/15/2019
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