Individual
OLIVIA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5240 SOCIALVILLE FOSTER RD, MASON, OH 45040-9302
(513) 231-5698
Mailing address
7790 WOODBRIDGE CT, SPRINGBORO, OH 45066-9181
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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