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1285340919
SHAWNTAE BLACKMON
TWINSBURG, OH
NPI
1285340919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-01-26
Last Update Date
2023-01-26
Business Address
SHAWNTAE BLACKMON
10735 RAVENNA RD UNIT 206
TWINSBURG, OH 44087-3107
Phone number: 234-212-1100
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Mailing Address
SHAWNTAE BLACKMON
1465 TOWNSEND AVE APT 15
YOUNGSTOWN, OH 44505-1282
Phone number: 330-951-2239
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