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1285170043
SHANNON LAREAU
KINGSTON, NY
NPI
1285170043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 313955)
Enumeration Date
2017-01-17
Last Update Date
2017-01-17
Business Address
-- SHANNON LAREAU LPN
918 ULSTER AVE
KINGSTON, NY 12401-1344
Phone number: 845-339-6683
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Mailing Address
-- SHANNON LAREAU LPN
918 ULSTER AVE
KINGSTON, NY 12401-1344
Phone number: 845-339-6683
Copy
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