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1972040954
SAMANTHA SHANKS
FLORISSANT, MO
NPI
1972040954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2007029968)
Enumeration Date
2017-01-27
Last Update Date
2017-01-27
Business Address
-- SAMANTHA SHANKS L.P.N.
224 N HIGHWAY 67 ST SUITE 231
FLORISSANT, MO 63031-5904
Phone number: 636-344-9357
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Mailing Address
-- SAMANTHA SHANKS L.P.N.
224 N HIGHWAY 67 ST SUITE 231
FLORISSANT, MO 63031-5904
Phone number: 636-344-9357
Copy
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