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1972282564
LASHANDA MARIE DAVIS
HARVEY, IL
NPI
1972282564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Additional Taxonomies
171000000X Military Health Care Provider
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
LASHANDA MARIE DAVIS
14521 JUSTINE ST
HARVEY, IL 60426-1241
Phone number: 708-252-0589
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Mailing Address
LASHANDA MARIE DAVIS
14521 JUSTINE ST
HARVEY, IL 60426
Phone number: 708-252-0589
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