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Individual

SHAWNA OLIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CHC

Contact information

Practice address
909 ROSE AVE, KOUTS, IN 46347-9538
(219) 508-5164
Mailing address
909 ROSE AVE, KOUTS, IN 46347-9538
(219) 508-5164

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0
N/A
Enumeration date
03/06/2023
Last updated
03/06/2023
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