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1487384954
SHANICE BLAND
HILLSIDE, NJ
NPI
1487384954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NJ 26NP07932800)
Enumeration Date
2022-06-16
Last Update Date
2022-06-16
Business Address
SHANICE BLAND
358 LONG AVE
HILLSIDE, NJ 07205-2041
Phone number: 908-994-9383
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Mailing Address
SHANICE BLAND
358 LONG AVE
HILLSIDE, NJ 07205-2041
Phone number: 908-994-9383
Copy
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