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1689411837
IRENE SHAO
OMAHA, NE
NPI
1689411837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-13
Last Update Date
2024-07-13
Business Address
IRENE SHAO
4350 DEWEY AVE
OMAHA, NE 68105-1017
Phone number: 402-559-6673
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Mailing Address
IRENE SHAO
51123 PLYMOUTH LAKE CT
PLYMOUTH, MI 48170-6376
Phone number: 734-673-2197
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