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1245820166
SHAWLA CLARK
PHILADELPHIA, PA
NPI
1245820166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
(Licence: PA 53623601)
Enumeration Date
2021-01-25
Last Update Date
2021-01-25
Business Address
SHAWLA CLARK
2047 LOCUST ST FL 4
PHILADELPHIA, PA 19103-5613
Phone number: 267-773-8525
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Mailing Address
SHAWLA CLARK
2047 LOCUST ST FL 4
PHILADELPHIA, PA 19103-5613
Phone number: 267-773-8525
Copy
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