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LAQUANTA SHAW, NON TYPICAL

NON TYPICAL

Driver

NPI: 1730735903Individual

Specialties, Licenses & Credentials

Home Health Aide

Code: 374U00000X

HHA0901819(IN)
DriverPrimary

Driver

Code: 172A00000X

2350-45-6933(IN)
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Contact & Hours

Address
4160 TAHOE CT
INDIANAPOLIS, IN 46235

Quick Facts

NPI
1730735903
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
1

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