ADDIE SHOCK

ELYRIA, OH
NPI1215380423
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: OH  RN3810151)
Enumeration Date2016-07-22
Last Update Date2022-03-29
Business Address
ADDIE SHOCK
125 E BROAD ST STE 302
ELYRIA, OH 44035-6447
Phone number: 440-323-0258
Mailing Address
ADDIE SHOCK
9807 NICOLE LN
OLMSTED TWP, OH 44138-4252
Phone number: 419-685-4353
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