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1619377470
SHELBY ELIZABETH LARSH
GREENWOOD, IN
NPI
1619377470
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Former Name
SHELBY GAMBRALL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31006710A)
Enumeration Date
2014-08-29
Last Update Date
2023-02-20
Business Address
SHELBY ELIZABETH LARSH
1703 W STONES CROSSING RD STE 120
GREENWOOD, IN 46143-8558
Phone number: 317-528-2018
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Mailing Address
SHELBY ELIZABETH LARSH
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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