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1508258567
SHANE JOHNSON
CANTON, OH
NPI
1508258567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN-143859-M-IV)
Enumeration Date
2015-02-28
Last Update Date
2015-02-28
Business Address
-- SHANE JOHNSON
927 SMITH AVE SW
CANTON, OH 44706-1468
Phone number: 234-300-1630
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Mailing Address
-- SHANE JOHNSON
927 SMITH AVE SW
CANTON, OH 44706-1468
Phone number: 234-300-1630
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