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Individual

EVANGELINE SHIPLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6069 WEAVER RD, BERLIN CENTER, OH 44401-8715
(330) 547-9469
Mailing address
6069 WEAVER RD, BERLIN CENTER, OH 44401-8715
(330) 547-9469

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
310001040991
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2709742
OH
Enumeration date
06/06/2008
Last updated
06/06/2008
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