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Individual

SHAWNTAY PRITCHETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN, LMT

Contact information

Practice address
4879 HAMILTON AVE, BLDG. D, CINCINNATI, OH 45223-1505
(513) 614-4443
Mailing address
4879 HAMILTON AVE, BLDG. D, CINCINNATI, OH 45223-1505
(513) 614-4443

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN 102176-MEDS
OH
225700000X
Massage Therapist
Primary
33.021538
OH

Other

Enumeration date
01/22/2015
Last updated
01/22/2015
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