Individual
MRS. GRACE MARIE SHIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PN-132199-MEDS
Contact information
Practice address
1770 FORMAN RD, APT A, AUSTINBURG, OH 44010-9720
(440) 855-8130
Mailing address
1770 FORMAN RD, APT A, AUSTINBURG, OH 44010-9720
(440) 855-8130
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN132199
OH
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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