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1245074681
SHANICE MONIQUE SAMPLE
SPRINGFIELD, OH
NPI
1245074681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OH 171M00000X)
Enumeration Date
2024-06-20
Last Update Date
2024-06-20
Business Address
SHANICE MONIQUE SAMPLE
628 W LIBERTY ST
SPRINGFIELD, OH 45506-2026
Phone number: 567-804-3293
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Mailing Address
SHANICE MONIQUE SAMPLE
628 W LIBERTY ST
SPRINGFIELD, OH 45506-2026
Phone number:
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