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1225387475
SHAQUELA D PEAVY
KISSIMMEE, FL
NPI
1225387475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
Additional Taxonomies
376K00000X Nurse's Aide
(Licence: OH 401212700311)
Enumeration Date
2012-09-04
Last Update Date
2021-03-16
Business Address
SHAQUELA D PEAVY
1003 EMBRUN CT
KISSIMMEE, FL 34759-3460
Phone number: 330-550-0641
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Mailing Address
SHAQUELA D PEAVY
1003 EMBRUN CT
KISSIMMEE, FL 34759-3460
Phone number: 330-550-0641
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