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1093021487
SHAVAUGHN BLOUNT
BROOKLYN, NY
NPI
1093021487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 301546-1)
Enumeration Date
2010-08-24
Last Update Date
2010-08-24
Business Address
-- SHAVAUGHN BLOUNT
1809 NOSTRAND AVE STE 2 SUITE 1
BROOKLYN, NY 11226-7181
Phone number: 718-421-4224
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Mailing Address
-- SHAVAUGHN BLOUNT
10706 INWOOD ST
JAMAICA, NY 11435-5306
Phone number: 718-607-8444
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