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Individual

MATTHEW SHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1794 BRENTNELL AVE, COLUMBUS, OH 43219-1212
(614) 586-6970
Mailing address
1794 BRENTNELL AVE, COLUMBUS, OH 43219-1212
(614) 586-6970

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
376J00000X
Homemaker
Primary

Other

Enumeration date
05/27/2015
Last updated
05/27/2015
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