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1205422540
SHANUN JANIECE EVANS
ALBANY, GA
NPI
1205422540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1744P3200X Specialist Prosthetics Case Management
(Licence: NC C102408)
Enumeration Date
2020-12-20
Last Update Date
2021-01-01
Business Address
SHANUN JANIECE EVANS
12051 MCCLINTOCK CT
ALBANY, GA 31705-4447
Phone number: 216-854-1011
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Mailing Address
SHANUN JANIECE EVANS
12051 MCCLINTOCK CT
ALBANY, GA 31705-4447
Phone number: 216-854-1011
Copy
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