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Individual
SHINITA MARIE CHAPPELLE
Active
Individual
SHINITA MARIE CHAPPELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
548463-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
906347078
NEW YORK STATE DRIVER LICENSE
NY
Enumeration date
05/24/2019
Last updated
05/24/2019
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