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Individual

DONALD OBODAI SCHANDORF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
511 E COLUMBUS AVE, SPRINGFIELD, MA 01105-2506
(413) 733-3488
(413) 732-5856
Mailing address
12 ROYCE CT APT D6, WEST SPRINGFIELD, MA 01089-2569
(631) 827-4195

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
96356
MA

Other

Enumeration date
05/10/2021
Last updated
05/10/2021
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