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1073128922
SHAWANDA A DAVIS
LONG BRANCH, NJ
NPI
1073128922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NJ 18KT00906300)
Enumeration Date
2020-09-08
Last Update Date
2020-09-08
Business Address
SHAWANDA A DAVIS
103 7TH AVE
LONG BRANCH, NJ 07740-6935
Phone number: 732-889-6065
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Mailing Address
SHAWANDA A DAVIS
103 7TH AVE
LONG BRANCH, NJ 07740-6935
Phone number: 732-889-6065
Copy
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