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1033594882
TESSA F SHAGOVAC
PARMA, OH
NPI
1033594882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 152069)
Enumeration Date
2015-07-22
Last Update Date
2015-07-22
Business Address
-- TESSA F SHAGOVAC LPN
6753 STATE RD
PARMA, OH 44134-4517
Phone number: 440-843-5565
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Mailing Address
-- TESSA F SHAGOVAC LPN
6753 STATE RD
PARMA, OH 44134-4517
Phone number: 440-843-5565
Copy
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