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1255895595
ANGELA SHAFFER
GULFPORT, MS
NPI
1255895595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2019-01-30
Last Update Date
2019-01-30
Business Address
ANGELA SHAFFER
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-865-1719
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Mailing Address
ANGELA SHAFFER
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-865-1719
Copy
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