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1396290672
SIMON SHACKELFORD
BARTOW, FL
NPI
1396290672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2016-08-17
Last Update Date
2016-08-17
Business Address
-- SIMON SHACKELFORD
1255 BRICE BLVD
BARTOW, FL 33830-6735
Phone number: 863-519-8233
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Mailing Address
-- SIMON SHACKELFORD
1255 BRICE BLVD
BARTOW, FL 33830-6735
Phone number:
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