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1568080489
KANISHA SHUNTA ROGERS
LEHIGH ACRES, FL
NPI
1568080489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2020-07-07
Last Update Date
2020-07-07
Business Address
Miss KANISHA SHUNTA ROGERS
2808 72ND ST W
LEHIGH ACRES, FL 33971-5824
Phone number: 239-529-0520
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Mailing Address
Miss KANISHA SHUNTA ROGERS
2808 72ND ST W
LEHIGH ACRES, FL 33971-5824
Phone number: 239-529-0520
Copy
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