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Individual

HEIDI MARIE SHAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
612 WASHINGTON BLVD, BELPRE, OH 45714-2465
(740) 315-1065
Mailing address
500 BUFFALO TOM DR, GREENSBORO, NC 27455-8344
(770) 905-3779

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1219220

Other

Enumeration date
11/18/2024
Last updated
11/18/2024
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