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1598153819
COCOANISHA SHEANTA MATLOCK
WARREN, OH
NPI
1598153819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: OH 501134600606)
Enumeration Date
2015-01-09
Last Update Date
2015-01-09
Business Address
-- COCOANISHA SHEANTA MATLOCK
3100 STARLITE DR NW
WARREN, OH 44485-1618
Phone number: 216-371-9858
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Mailing Address
-- COCOANISHA SHEANTA MATLOCK
3100 STARLITE DR NW
WARREN, OH 44485-1618
Phone number: 216-371-9858
Copy
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