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1275027617
PATRICE A SHACKLE
MOUNT VERNON, OH
NPI
1275027617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2018-06-19
Last Update Date
2022-07-21
Business Address
PATRICE A SHACKLE
117 W HIGH ST
MOUNT VERNON, OH 43050-2425
Phone number: 740-392-9491
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Mailing Address
PATRICE A SHACKLE
1575 YAUGER RD APT 5
MOUNT VERNON, OH 43050-9085
Phone number: 740-326-1777
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