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1215299375
JESSICA SHOCKLEY
DAYTON, OH
NPI
1215299375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1101X Technician/Technologist Ophthalmic Assistant
(Licence: OH 180446)
Enumeration Date
2012-06-13
Last Update Date
2012-06-13
Business Address
JESSICA SHOCKLEY C.O.A
105 SUGAR CAMP CIR SUITE 200
DAYTON, OH 45409-1962
Phone number: 937-222-3937
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Mailing Address
JESSICA SHOCKLEY C.O.A
105 SUGAR CAMP CIR SUITE 200
DAYTON, OH 45409-1962
Phone number: 937-222-3937
Copy
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