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1992386973
SHADELL DANAE MARIA WOMACK
MERCED, CA
NPI
1992386973
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Former Name
SHADELL DANAE MARIA NICHOLS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 717412)
Enumeration Date
2021-04-20
Last Update Date
2023-12-12
Business Address
SHADELL DANAE MARIA WOMACK
301 E 13TH ST STE D
MERCED, CA 95341-6211
Phone number: 209-386-1096
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Mailing Address
SHADELL DANAE MARIA WOMACK
1111 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-938-0228
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