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1518240829
SHA-SHENA R OVERTON
CORAM, NY
NPI
1518240829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 10-307257)
Enumeration Date
2011-09-22
Last Update Date
2011-09-22
Business Address
SHA-SHENA R OVERTON LPN
15 LINCOLN CT
CORAM, NY 11727-3912
Phone number: 631-846-4288
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Mailing Address
SHA-SHENA R OVERTON LPN
15 LINCOLN CT
CORAM, NY 11727-3912
Phone number: 631-846-4288
Copy
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