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1245792969
SHANIKA STALLWORTH
JACKSONVILLE, FL
NPI
1245792969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: FL CNA303138)
Enumeration Date
2019-04-02
Last Update Date
2019-06-11
Business Address
SHANIKA STALLWORTH CNA
466 E 46TH ST
JACKSONVILLE, FL 32208-5444
Phone number: 904-334-0115
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Mailing Address
SHANIKA STALLWORTH CNA
466 E 46TH ST
JACKSONVILLE, FL 32208-5444
Phone number: 904-334-0115
Copy
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