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1518606854
LUCAS TYLER SHAMMO
FREMONT, OH
NPI
1518606854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: OH APRN.CNP.0031455)
Enumeration Date
2022-06-03
Last Update Date
2022-06-07
Business Address
Mr. LUCAS TYLER SHAMMO FNP-C
2221 HAYES AVE
FREMONT, OH 43420-2632
Phone number: 419-334-3869
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Mailing Address
Mr. LUCAS TYLER SHAMMO FNP-C
211 KIMBERLY LN
CLYDE, OH 43410-1892
Phone number: 419-307-0015
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