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1588129837
SHANTANA BURRELL
PORT SAINT LUCIE, FL
NPI
1588129837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-01-31
Last Update Date
2019-01-31
Business Address
SHANTANA BURRELL
2632 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34953-2845
Phone number: 954-540-7002
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Mailing Address
SHANTANA BURRELL
1258 SW SAN ANTONIO AVE
PORT ST LUCIE, FL 34953-4837
Phone number: 954-540-7002
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