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Shawna Bailey

NPI Registration Record

Provider / OrganizationNPIDate Certified
SHAWNA BAILEY15286604042020-11-15
Entity TypeIndividual
Provider Name Shawna Bailey
Practice Office Address177 FRANKS AVE
WADSWORTH, OH US
Practice Office Telephone3308613755
Mailing Address177 FRANKS AVE
WADSWORTH, OH 442811607 US
Business Telephone3308613755
HPT Codes
CodeLicense NoState
374U00000X PRIMARY
OPI Codes

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