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1275151359
SHAVONNAH UPCHURCH
FREDERICKSBURG, VA
NPI
1275151359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: VA 0001225072)
Enumeration Date
2020-07-06
Last Update Date
2020-07-06
Business Address
SHAVONNAH UPCHURCH
1320 CENTRAL PARK BLVD STE 200
FREDERICKSBURG, VA 22401-4953
Phone number: 571-662-1062
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Mailing Address
SHAVONNAH UPCHURCH
PO BOX 952
GAINESVILLE, VA 20156-0952
Phone number: 678-468-7009
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