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Shirley Taylor
NPI 1659030773 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3461 Sunnyside Dr Apt 7
Portage, IN 46368 - Phone
- (219) 614-2080
- Fax
- (219) 850-4320
Registry record
- Primary taxonomy
- 372600000X
372600000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana