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1215489810
DEIDRA SHAQUANA ADDISON
LADSON, SC
NPI
1215489810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2016-10-29
Last Update Date
2016-10-29
Business Address
DEIDRA SHAQUANA ADDISON
409 SPARKLEBERRY LN
LADSON, SC 29456-3859
Phone number: 803-535-9268
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Mailing Address
DEIDRA SHAQUANA ADDISON
409 SPARKLEBERRY LN
LADSON, SC 29456-3859
Phone number: 803-535-9268
Copy
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