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Individual

SHIRLEY A ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
PO BOX 74953, CLEVELAND, OH 44194-1036
(440) 879-0081
(440) 879-0084

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NM4645
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221944
ANTHEM
OH
05
2298259
OH
Enumeration date
01/12/2006
Last updated
07/11/2007
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