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1558140087
SHANEIL DAVIDSON
BRIDGEPORT, CT
NPI
1558140087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
SHANEIL DAVIDSON
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604-4252
Phone number: 203-394-6529
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Mailing Address
SHANEIL DAVIDSON
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604-4252
Phone number: 203-394-6529
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