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1922720051
SHANA LOUISE VISINTAINER
LOGAN, OH
NPI
1922720051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-09-15
Last Update Date
2022-09-15
Business Address
SHANA LOUISE VISINTAINER
33 W 2ND ST
LOGAN, OH 43138-1886
Phone number: 800-321-8293
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Mailing Address
SHANA LOUISE VISINTAINER
PO BOX 132
ATHENS, OH 45701-0132
Phone number:
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