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1619542941
SHANNON HEIDERMAN
CARSON CITY, NV
NPI
1619542941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-05-20
Last Update Date
2021-05-20
Business Address
SHANNON HEIDERMAN
343 FAIRVIEW DR STE 101
CARSON CITY, NV 89701-5389
Phone number: 775-887-5683
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Mailing Address
SHANNON HEIDERMAN
175 SAGE BRUSH STREET
WADSWORTH, NE 89446
Phone number:
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