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1104530351
LA SHANDA D WILLIS
CLEVELAND, OH
NPI
1104530351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2023-01-12
Last Update Date
2023-01-12
Business Address
LA SHANDA D WILLIS MA
3388 E 121ST ST
CLEVELAND, OH 44120-4302
Phone number: 216-526-3036
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Mailing Address
LA SHANDA D WILLIS MA
3388 E 121ST ST
CLEVELAND, OH 44120-4302
Phone number: 216-526-3036
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