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1124875745
TYRA R SHANNON
CINCINNATI, OH
NPI
1124875745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-05-01
Last Update Date
2024-05-01
Business Address
Mrs. TYRA R SHANNON
4307 WELLINGTON DR
CINCINNATI, OH 45245-1953
Phone number: 513-518-1466
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Mailing Address
Mrs. TYRA R SHANNON
4307 WELLINGTON DR
CINCINNATI, OH 45245-1953
Phone number: 513-518-1466
Copy
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