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1225877996
STEPHANIE SHONGUT
WEST HAVEN, CT
NPI
1225877996
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-22
Last Update Date
2024-05-22
Business Address
STEPHANIE SHONGUT
950 CAMPBELL AVE
WEST HAVEN, CT 06516-2770
Phone number: 203-932-5711
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Mailing Address
STEPHANIE SHONGUT
8508 ROSEDALE DR
OAK RIDGE, NC 27310-8712
Phone number:
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