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1164847075
SHANNON NICODEMUS
CHICO, CA
NPI
1164847075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 244508)
Enumeration Date
2014-02-28
Last Update Date
2014-02-28
Business Address
Mrs. SHANNON NICODEMUS
560 COHASSET RD SUITE 175
CHICO, CA 95926-2212
Phone number: 530-891-2999
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Mailing Address
Mrs. SHANNON NICODEMUS
560 COHASSET RD SUITE 175
CHICO, CA 95926-2212
Phone number: 530-891-2999
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