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1770992406
SHANN WISE
AMARILLO, TX
NPI
1770992406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 319567)
Enumeration Date
2014-08-06
Last Update Date
2014-08-06
Business Address
-- SHANN WISE
6010 W AMARILLO BLVD
AMARILLO, TX 79106-1990
Phone number: 806-355-9703
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Mailing Address
-- SHANN WISE
6010 W AMARILLO BLVD
AMARILLO, TX 79106-1990
Phone number:
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