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1083253520
SHAKA D MCCORMICK
SAINT LOUIS, MO
NPI
1083253520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MO 2019000899)
Enumeration Date
2020-01-01
Last Update Date
2020-01-01
Business Address
Ms. SHAKA D MCCORMICK LMT
2804 OSAGE ST
SAINT LOUIS, MO 63118-4537
Phone number: 314-448-0143
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Mailing Address
Ms. SHAKA D MCCORMICK LMT
PO BOX 27041
SAINT LOUIS, MO 63118-0041
Phone number: 618-918-1245
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