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Individual

MRS. DOROTHY ELIZABETH SHUMATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
9039 SPRINGBORO PIKE STE A, MIAMISBURG, OH 45342-5442
(937) 818-5810
Mailing address
9039 SPRINGBORO PIKE STE A, MIAMISBURG, OH 45342-5442
(937) 818-5810

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN100223
OH
164X00000X
Licensed Vocational Nurse
LPN.100223.MEDS
OH

Other

Enumeration date
03/07/2016
Last updated
08/18/2023
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