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1962143941
SHANNIAH BOSEMAN
PHILADELPHIA, PA
NPI
1962143941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: PA 10045249)
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
SHANNIAH BOSEMAN
1825 N NATRONA ST
PHILADELPHIA, PA 19121-2413
Phone number: 267-417-5080
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Mailing Address
SHANNIAH BOSEMAN
11 AQUAMARINE CT
DOVER, DE 19904-3706
Phone number: 267-255-2465
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