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1225634736
LISA SHAMBLIN
CHARLESTON, WV
NPI
1225634736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WV 30302)
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
LISA SHAMBLIN
4510 PENNSYLVANIA AVE
CHARLESTON, WV 25302-4835
Phone number: 304-965-9081
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Mailing Address
LISA SHAMBLIN
11517 ELK RIVER RD N
CLENDENIN, WV 25045-6206
Phone number: 304-389-9400
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