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1053740316
COLEEN SHAKLEFORD
BRONX, NY
NPI
1053740316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 316840)
Enumeration Date
2013-11-07
Last Update Date
2013-11-07
Business Address
-- COLEEN SHAKLEFORD LPN
3207 TENBROECK AVE
BRONX, NY 10469-5010
Phone number: 347-478-4037
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Mailing Address
-- COLEEN SHAKLEFORD LPN
3207 TENBROECK AVE
BRONX, NY 10469-5010
Phone number: 347-478-4037
Copy
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