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1487345823
SHANE WAKEFIELD
RENO, NV
NPI
1487345823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-17
Last Update Date
2023-05-17
Business Address
SHANE WAKEFIELD
1291 BON REA WAY
RENO, NV 89503-2802
Phone number: 916-335-1058
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Mailing Address
SHANE WAKEFIELD
1291 BON REA WAY
RENO, NV 89503-2802
Phone number: 916-335-1058
Copy
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