CHAUNTA WADE SHANNON

LOCUST GROVE, GA
NPI1831940741
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MS  325286)
Enumeration Date2024-03-28
Last Update Date2024-03-28
Business Address
CHAUNTA WADE SHANNON
1090 EAGLES BROOKE DR
LOCUST GROVE, GA 30248-2475
Phone number: 419-610-3721
Mailing Address
CHAUNTA WADE SHANNON
1090 EAGLES BROOKE DR
LOCUST GROVE, GA 30248-2475
Phone number: 419-610-3721
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