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1013511070
SHONTA JACKSON
CHARLOTTE, NC
NPI
1013511070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2020-11-30
Last Update Date
2020-11-30
Business Address
SHONTA JACKSON
8301 PENCE RD APT B
CHARLOTTE, NC 28215-4357
Phone number: 803-342-0553
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Mailing Address
SHONTA JACKSON
8301 PENCE RD APT B
CHARLOTTE, NC 28215-4357
Phone number: 803-342-0553
Copy
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