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1033588405
ALYSE SHAPAKA
MARIETTA, OH
NPI
1033588405
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Former Name
ALYSE MCNEILL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50.004416)
Enumeration Date
2015-09-16
Last Update Date
2024-07-15
Business Address
ALYSE SHAPAKA PA
400 MATTHEW ST SUITE 200
MARIETTA, OH 45750-1644
Phone number: 740-434-0565
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Mailing Address
ALYSE SHAPAKA PA
PO BOX 449
MARIETTA, OH 45750-0449
Phone number: 740-374-4500
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