SHANE RENEE CLARK

DAYTON, OH
NPI1023956257
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  194609)
Enumeration Date2026-03-21
Last Update Date2026-03-21
Business Address
SHANE RENEE CLARK
5107 GOODYEAR DR
DAYTON, OH 45406-1135
Phone number: 937-422-6497
Mailing Address
SHANE RENEE CLARK
5107 GOODYEAR DR
DAYTON, OH 45406-1135
Phone number: 937-422-6497
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