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1730939901
SHANNON MARY DICENSO
BLACKSTONE, MA
NPI
1730939901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MA LN89314)
Enumeration Date
2024-03-22
Last Update Date
2024-03-22
Business Address
SHANNON MARY DICENSO LPN
12 GLENSIDE DR
BLACKSTONE, MA 01504-1548
Phone number: 617-201-6759
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Mailing Address
SHANNON MARY DICENSO LPN
12 GLENSIDE DR
BLACKSTONE, MA 01504-1548
Phone number: 617-201-6759
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