Individual
JEFFREY SHAULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1748 HANLEY RD W, MANSFIELD, OH 44904-1420
(419) 689-1068
Mailing address
1748 HANLEY RD W, MANSFIELD, OH 44904-1420
(419) 689-1068
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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