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APPOLONIA DAWN SHEPPARD

>> Homemaker >> Nursing Service Related Providers

Registrant NPI Number: 1104340579

Individual Registrant:
 APPOLONIA DAWN SHEPPARD 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2152 BRISTOL RD  PEMAQUID, ME 04558-4008 US
Tel: 207-350-6087  Fax: 207-350-7258

Contact information for business:
2152 BRISTOL RD  PEMAQUID, ME 04558-4008 US
Tel: 207-350-7258  Fax: --

Registration Information:
NPI: 1104340579
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y376J00000XNursing Service Related Providers
Homemaker
ME

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
IN HOME CARE2172081600004ME01




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