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1194263335
VANECIA T SHAW
PHILADELPHIA, PA
NPI
1194263335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN286676)
Enumeration Date
2017-02-08
Last Update Date
2017-02-08
Business Address
Ms. VANECIA T SHAW LPN
5525 MIRIAM RD
PHILADELPHIA, PA 19124-1715
Phone number: 215-237-1958
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Mailing Address
Ms. VANECIA T SHAW LPN
5525 MIRIAM RD
PHILADELPHIA, PA 19124-1715
Phone number: 215-237-1958
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