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1861856015
SHELLEY FOGT
LIMA, OH
NPI
1861856015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH APRN.CNP.18696)
Enumeration Date
2016-04-13
Last Update Date
2021-01-04
Business Address
SHELLEY FOGT
1220 E ELM ST STE 106
LIMA, OH 45804-2803
Phone number: 419-226-5180
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Mailing Address
SHELLEY FOGT
1001 BELLEFONTAINE AVE
LIMA, OH 45804-2800
Phone number: 419-998-4575
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