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Individual

STACY H SHAFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2141 OREGON PIKE, LANCASTER, PA 17601-4604
(717) 617-2706
Mailing address
PO BOX 682, CONCORD, PA 17217-0682

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN274453
PA

Other

Enumeration date
06/17/2021
Last updated
06/17/2021
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