SHANISE FORD

MONTICELLO, FL
NPI1467900233
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Additional Taxonomies372600000X Adult Companion
Enumeration Date2016-09-21
Last Update Date2016-10-04
Business Address
-- SHANISE FORD
510 S MARVIN ST
MONTICELLO, FL 32344-2522
Phone number: 850-212-3030
Mailing Address
-- SHANISE FORD
2365 CENTERVILLE RD
TALLAHASSEE, FL 32308-4317
Phone number: 850-212-3030
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