Shane Renee Clark
Shane Renee Clark is a Licensed Practical Nurse in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2026
Practice location Address checks out
5107 Goodyear DrDayton, OH 45406-1135
Phone: (937) 422-6497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 194609 (OH) |
|---|
Record details
| NPI number | 1023956257 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 21, 2026 |
| Last updated in NPPES | March 21, 2026 |
| Certification date | March 21, 2026 |
| Mailing address | 5107 Goodyear Dr, Dayton, OH 45406-1135 |
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