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1245637867
SHATONA CLARK
LIVONIA, MI
NPI
1245637867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-11-25
Last Update Date
2014-11-25
Business Address
SHATONA CLARK
34050 INDUSTRIAL RD
LIVONIA, MI 48150-1306
Phone number: 734-293-0034
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Mailing Address
SHATONA CLARK
11344 GODDARD CT
TAYLOR, MI 48180-6218
Phone number:
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