SHANNON MARIE MIRACLE

CLARKSVILLE, TN
NPI1144350422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: TN  00119156)
Enumeration Date2007-03-06
Last Update Date2007-07-08
Business Address
Mrs. SHANNON MARIE MIRACLE CNA
511 8TH ST
CLARKSVILLE, TN 37040-3093
Phone number: 931-920-7200
Mailing Address
Mrs. SHANNON MARIE MIRACLE CNA
1291 BARKLEY HILLS CIR
CLARKSVILLE, TN 37040-8103
Phone number: 931-648-1405
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