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1396378600
SHANNON WARD
LAKE HAVASU CITY, AZ
NPI
1396378600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP051405)
Enumeration Date
2020-02-14
Last Update Date
2020-02-14
Business Address
SHANNON WARD LPN
2395 SMOKETREE AVE N
LAKE HAVASU CITY, AZ 86403-5876
Phone number: 928-505-6022
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Mailing Address
SHANNON WARD LPN
2395 SMOKETREE AVE N
LAKE HAVASU CITY, AZ 86403-5876
Phone number: 928-505-6022
Copy
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