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1548813272
RODERICK JOSEPH SHANKS
BILOXI, MS
NPI
1548813272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
(Licence: MS 4505)
Enumeration Date
2019-07-22
Last Update Date
2019-07-22
Business Address
-- RODERICK JOSEPH SHANKS
1636 N POPPS FERRY RD # A2 & A4
BILOXI, MS 39532-2217
Phone number: 228-967-7991
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Mailing Address
-- RODERICK JOSEPH SHANKS
1636 N POPPS FERRY RD # A2 & A4
BILOXI, MS 39532-2217
Phone number: 228-967-7991
Copy
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