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Individual

LYDIA CLARE SHELLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6660 DOUBLETREE AVE, COLUMBUS, OH 43229-1128
(614) 499-6471
Mailing address
9407 WAYNE BROWN DR, POWELL, OH 43065-7722
(614) 499-6471

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
HJW2854
OH

Other

Enumeration date
07/03/2023
Last updated
07/03/2023
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