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1982341889
SHANIKA IESHA JEFFERSON
LYNCHBURG, VA
NPI
1982341889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246RP1900X Technician, Pathology, Phlebotomy
(Licence: VA E9J2E2T9)
Enumeration Date
2022-05-12
Last Update Date
2022-07-09
Business Address
SHANIKA IESHA JEFFERSON
123 TIMBER CT
LYNCHBURG, VA 24501-2954
Phone number: 434-426-1253
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Mailing Address
SHANIKA IESHA JEFFERSON
123 TIMBER CT
LYNCHBURG, VA 24501-2954
Phone number: 434-426-1253
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