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1184128159
SHELLY RENEE STAFFORD
CANTON, OH
NPI
1184128159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: OH 400687791107)
Enumeration Date
2018-03-22
Last Update Date
2018-03-22
Business Address
SHELLY RENEE STAFFORD STNA
4657 17TH ST NW
CANTON, OH 44708-2713
Phone number: 330-312-9920
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Mailing Address
SHELLY RENEE STAFFORD STNA
4657 17TH ST NW
CANTON, OH 44708-2713
Phone number: 330-312-9920
Copy
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