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1265912034
SHANELLE C BAXA
HONOLULU, HI
NPI
1265912034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2018-08-20
Last Update Date
2018-08-20
Business Address
SHANELLE C BAXA
2115 GERTZ LN APT A
HONOLULU, HI 96819-4176
Phone number: 808-497-1797
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Mailing Address
SHANELLE C BAXA
PO BOX 893893
MILILANI, HI 96789-0893
Phone number:
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