DEDRA SHANTAY COX

COLUMBIA, SC
NPI1467947226
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy372600000X Adult Companion
(Licence: SC  2018-56113-55006)
Enumeration Date2018-06-25
Last Update Date2018-06-25
Business Address
DEDRA SHANTAY COX
15 WESTLAND PINE CT
COLUMBIA, SC 29229-9517
Phone number: 803-394-2228
Mailing Address
DEDRA SHANTAY COX
15 WESTLAND PINE CT
COLUMBIA, SC 29229-9517
Phone number: 803-394-2228
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