Individual
CAROLINE GRACE SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
959 HOPLEY AVE, BUCYRUS, OH 44820-3506
(419) 562-1009
Mailing address
3067 NEW WASHINGTON RD, BLOOMVILLE, OH 44818-9358
(419) 569-3490
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004093
OH
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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