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1114234507
REBECCA MARIE SHANNON
DAYTON, OH
NPI
1114234507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 140332)
Enumeration Date
2010-09-07
Last Update Date
2014-03-18
Business Address
-- REBECCA MARIE SHANNON LPN
444 ADELITE AVE
DAYTON, OH 45417-3208
Phone number: 937-701-1927
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Mailing Address
-- REBECCA MARIE SHANNON LPN
444 ADELITE AVE
DAYTON, OH 45417-3208
Phone number: 937-701-1927
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