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1366040511
SHANTA R WHITE
FORT WORTH, TX
NPI
1366040511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
(Licence: TX 43125839)
Enumeration Date
2020-10-10
Last Update Date
2020-10-10
Business Address
SHANTA R WHITE
6850 MANHATTAN BLVD # 704
FORT WORTH, TX 76120-1227
Phone number: 682-615-0410
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Mailing Address
SHANTA R WHITE
6850 MANHATTAN BLVD # 704
FORT WORTH, TX 76120-1227
Phone number: 682-615-0410
Copy
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