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Individual

MRS. SHAYLA SHAMONE FUQUA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1923 CLAY ST, SANDUSKY, OH 44870-4512
(419) 871-1500
Mailing address
1923 CLAY ST, SANDUSKY, OH 44870-4512
(419) 871-1500

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
OH

Other

Enumeration date
11/04/2025
Last updated
11/04/2025
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