CHARLES T SHINE

DAYTON, OH
NPI1346250180
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  RN217919/NA01171)
Enumeration Date2006-08-08
Last Update Date2007-07-08
Business Address
Mr. CHARLES T SHINE CRNA
4100 W 3RD ST
DAYTON, OH 45428-9000
Phone number: 937-258-6511
Mailing Address
Mr. CHARLES T SHINE CRNA
200 E RAHN RD
DAYTON, OH 45429-5424
Phone number: 937-434-5456
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