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1124483532
SHANTA HARRELL
AHOSKIE, NC
NPI
1124483532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
(Licence: NC Fcl-046-025)
Enumeration Date
2015-12-30
Last Update Date
2015-12-30
Business Address
-- SHANTA HARRELL
106 HOLLOMAN AVENUE
AHOSKIE, NC 27910
Phone number: 252-642-3606
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Mailing Address
-- SHANTA HARRELL
1219 NORTH CATHERINE STREET 106 HOLLOMAN AVENUE
AHOSKIE, NC 27910
Phone number: 252-642-3606
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