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1861031536
SHAWNTE SELF
MAUMEE, OH
NPI
1861031536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.161286.MEDS-IV)
Enumeration Date
2019-12-30
Last Update Date
2019-12-30
Business Address
SHAWNTE SELF
1757 INDIAN WOOD CIR
MAUMEE, OH 43537-4009
Phone number: 833-440-8647
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Mailing Address
SHAWNTE SELF
1757 INDIAN WOOD CIR
MAUMEE, OH 43537-4009
Phone number:
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