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1154010825
SHANTA ANDERSON
COLUMBIA, SC
NPI
1154010825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2023-05-08
Last Update Date
2023-05-08
Business Address
SHANTA ANDERSON
109 WESTBRIDGE RD
COLUMBIA, SC 39223
Phone number: 803-848-1530
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Mailing Address
SHANTA ANDERSON
109 WESTBRIDGE RD
COLUMBIA, SC 39223
Phone number: 803-848-1530
Copy
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