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Individual

SHAREESE LYNNETTE SWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4141 PEARL RD, MEDINA, OH 44256-7649
(330) 723-0234
(330) 723-1608
Mailing address
6094 RIVER STYX RD, MEDINA, OH 44256-9782
(330) 760-4515

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.005815-SC
OH
374U00000X
Home Health Aide

Other

Enumeration date
02/21/2023
Last updated
03/03/2023
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