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Individual

MRS. SHANNON M MOWERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
931 HERMS HILL RD, WHEELERSBURG, OH 45694-9340
(740) 464-5769
Mailing address
931 HERMS HILL RD, WHEELERSBURG, OH 45694-9340
(740) 464-5769

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
7303975
OH
376J00000X
Homemaker
7303975
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7303975
OH
Enumeration date
12/04/2020
Last updated
12/04/2020
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