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1205970027
VIVIAN SHORT
LAUREL, DE
NPI
1205970027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: DE L10011104)
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
VIVIAN SHORT
815 S CENTRAL AVE
LAUREL, DE 19956-1413
Phone number: 302-875-6105
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Mailing Address
VIVIAN SHORT
815 S CENTRAL AVE
LAUREL, DE 19956-1413
Phone number:
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