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1902598691
SHAE MARTIN
PHOENIX, AZ
NPI
1902598691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: AZ LNA1000053604)
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
Mr. SHAE MARTIN Nursing Assitant
936 W MOUNTAIN VIEW RD APT 15
PHOENIX, AZ 85021-2368
Phone number: 480-587-3706
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Mailing Address
Mr. SHAE MARTIN Nursing Assitant
936 W MOUNTAIN VIEW RD APT 15
PHOENIX, AZ 85021-2368
Phone number: 480-587-3706
Copy
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