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1285386573
SHASTA LEGGETT
BROKEN BOW, NE
NPI
1285386573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2022-01-19
Last Update Date
2022-01-19
Business Address
SHASTA LEGGETT
323 N 7TH AVE
BROKEN BOW, NE 68822-1718
Phone number: 308-872-6821
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Mailing Address
SHASTA LEGGETT
323 N 7TH AVE
BROKEN BOW, NE 68822-1718
Phone number: 308-872-6821
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