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Individual

SHAKIRA LEGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6744 GUYER AVE, PHILADELPHIA, PA 19142-2611
(267) 582-8843
Mailing address
6744 GUYER AVE, PHILADELPHIA, PA 19142-2611
(267) 582-8843

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN293563
PA

Other

Enumeration date
10/15/2021
Last updated
12/09/2021
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