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1336820828
SHELBY SHOLL
LAKE HAVASU CITY, AZ
NPI
1336820828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
SHELBY SHOLL
1718 AVALON AVE
LAKE HAVASU CITY, AZ 86404-1104
Phone number: 928-733-8481
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Mailing Address
SHELBY SHOLL
1718 AVALON AVE
LAKE HAVASU CITY, AZ 86404-1104
Phone number:
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