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1215358700
SHAWNICKA DIANE ITSON
LEXINGTON, KY
NPI
1215358700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: KY 171M00000)
Enumeration Date
2013-12-30
Last Update Date
2014-01-06
Business Address
MRS. SHAWNICKA DIANE ITSON B.A
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Phone number: 859-253-1686
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Mailing Address
MRS. SHAWNICKA DIANE ITSON B.A
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Phone number: 859-253-1686
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