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1194258061
SHANTAE MONIQUE SHAW
SOUTH HADLEY, MA
NPI
1194258061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-04-07
Last Update Date
2017-04-07
Business Address
-- SHANTAE MONIQUE SHAW
258 OLD LYMAN RD
SOUTH HADLEY, MA 01075-2653
Phone number: 413-896-9094
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Mailing Address
-- SHANTAE MONIQUE SHAW
E25 MILL POND RD
BROAD BROOK, CT 06016-9107
Phone number: 860-987-3035
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