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1457822728
ASHLEY ANNE SHACKELFORD
PHOENIX, AZ
NPI
1457822728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2011035509)
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
Mrs. ASHLEY ANNE SHACKELFORD LPN
3801 W MISSOURI AVE
PHOENIX, AZ 85019-2133
Phone number: 602-336-2646
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Mailing Address
Mrs. ASHLEY ANNE SHACKELFORD LPN
4510 N 37TH AVE
PHOENIX, AZ 85019-3206
Phone number: 602-336-2990
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