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Shannon Dzugan

Technician, Personal Care Attendant in Barboursville, WV. Individual provider (NPI-1).

NPI number1124863907
StatusActive
Last updated in NPPESJun 25, 2024

Details

NPI
1124863907
Entity type
Individual (NPI-1)
Name
Shannon Dzugan
Sex
Female
Sole proprietor
No
Enumeration date
Jun 25, 2024
Certification date
Jun 25, 2024
Last updated
Jun 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

650 Main St
Barboursville, WV 25504-1439

Phone 304-302-0707

Mailing address

650 Main St
Barboursville, WV 25504-1439

Phone 304-302-0707

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