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1235788001
SHANNON RAE MIKITA
WEXFORD, PA
NPI
1235788001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: PA RN609684)
Enumeration Date
2019-09-05
Last Update Date
2019-09-05
Business Address
SHANNON RAE MIKITA RN-BC
11279 PERRY HWY STE 204
WEXFORD, PA 15090-9303
Phone number: 724-933-3910
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Mailing Address
SHANNON RAE MIKITA RN-BC
11279 PERRY HWY STE 204
WEXFORD, PA 15090-9303
Phone number: 724-933-3910
Copy
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