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1326400888
SHONTA CLARK
SAINT LOUIS, MO
NPI
1326400888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2016-03-24
Last Update Date
2016-03-24
Business Address
-- SHONTA CLARK
325 ROSE LN
SAINT LOUIS, MO 63122-5911
Phone number: 314-686-8444
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Mailing Address
-- SHONTA CLARK
325 ROSE LN
SAINT LOUIS, MO 63122-5911
Phone number: 314-686-8444
Copy
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