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1336785039
SHAVONNA GREEN
ORANGEBURG, SC
NPI
1336785039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2019-11-18
Last Update Date
2019-11-18
Business Address
SHAVONNA GREEN
2889 ROSEDALE DR
ORANGEBURG, SC 29115-8428
Phone number: 804-570-6736
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Mailing Address
SHAVONNA GREEN
2889 ROSEDALE DR
ORANGEBURG, SC 29115-8428
Phone number: 804-570-6736
Copy
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