SHANE JOHNSON

CANTON, OH
NPI1508258567
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN-143859-M-IV)
Enumeration Date2015-02-28
Last Update Date2015-02-28
Business Address
-- SHANE JOHNSON
927 SMITH AVE SW
CANTON, OH 44706-1468
Phone number: 234-300-1630
Mailing Address
-- SHANE JOHNSON
927 SMITH AVE SW
CANTON, OH 44706-1468
Phone number: 234-300-1630
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