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1003539792
SAMANTHA SHYANNE GORDON
WAUSAU, WI
NPI
1003539792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2022-09-19
Last Update Date
2022-09-19
Business Address
SAMANTHA SHYANNE GORDON CNA
227235 TEAL AVE
WAUSAU, WI 54401-2557
Phone number: 630-826-9753
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Mailing Address
SAMANTHA SHYANNE GORDON CNA
16192 COASTAL HWY
LEWES, DE 19958-3608
Phone number:
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