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1003190828
SHANTERA L CHILDS
MILLINGTON, TN
NPI
1003190828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: TN 0000037824)
Enumeration Date
2011-09-29
Last Update Date
2011-09-29
Business Address
-- SHANTERA L CHILDS cpht
3595 LUCY RD
MILLINGTON, TN 38053-7807
Phone number: 901-239-7906
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Mailing Address
-- SHANTERA L CHILDS cpht
3595 LUCY RD
MILLINGTON, TN 38053-7807
Phone number: 901-239-7906
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