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1679174957
SHASTA LASHEA EVANS
CHARLESTON, WV
NPI
1679174957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-04
Last Update Date
2021-08-18
Business Address
SHASTA LASHEA EVANS
5916 STARLING DR
CHARLESTON, WV 25306-6045
Phone number: 304-553-3989
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Mailing Address
SHASTA LASHEA EVANS
5916 STARLING DR
CHARLESTON, WV 25306-6045
Phone number: 304-553-3989
Copy
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