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Individual

MS. MARY FAYE SHAFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4533 STEPHENS CIR NW APT 108, CANTON, OH 44718-3626
(234) 347-0136
Mailing address
4533 STEPHENS CIR NW APT 108, CANTON, OH 44718-3626
(234) 347-0136

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
SL892823
OH
376J00000X
Homemaker
Primary

Other

Enumeration date
06/20/2023
Last updated
06/20/2023
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