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1164114203
TIERRA ASHANTE SHAW
ATHENS, OH
NPI
1164114203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-05-25
Last Update Date
2023-05-25
Business Address
TIERRA ASHANTE SHAW
11 GRAHAM DR
ATHENS, OH 45701-1430
Phone number: 800-321-8293
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Mailing Address
TIERRA ASHANTE SHAW
PO BOX 132
ATHENS, OH 45701-0132
Phone number:
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