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Individual

LASHAWN SHAMBLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2366 55TH ST S APT 206, FARGO, ND 58104-7625
(312) 404-8184
Mailing address
2366 55TH ST S APT 206, FARGO, ND 58104-7625
(312) 404-8184

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005879966
ND
Enumeration date
07/15/2022
Last updated
09/06/2022
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