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1336691575
SHANTELL GABRIELL DIXON
ROCHESTER, NY
NPI
1336691575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 324771)
Enumeration Date
2016-11-03
Last Update Date
2016-11-03
Business Address
Ms. SHANTELL GABRIELL DIXON
8 YANKEE CT
ROCHESTER, NY 14624-4970
Phone number: 585-478-9034
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Mailing Address
Ms. SHANTELL GABRIELL DIXON
8 YANKEE CT
ROCHESTER, NY 14624-4970
Phone number: 585-478-9034
Copy
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