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1356049910
SHANTWAN L HUMPHREY
IRVING, TX
NPI
1356049910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172A00000X Driver
(Licence: TX 35712321)
Enumeration Date
2023-02-22
Last Update Date
2023-02-22
Business Address
SHANTWAN L HUMPHREY
5901 N MACARTHUR BLVD # 1421
IRVING, TX 75039-3807
Phone number: 214-664-7058
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Mailing Address
SHANTWAN L HUMPHREY
6932 GREENVILLE AVE # 119
DALLAS, TX 75231-5904
Phone number: 214-664-7058
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