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1699369421
FATIMA SHANI RICHARDSON
SUMMERVILLE, SC
NPI
1699369421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: SC 48745)
Enumeration Date
2021-02-23
Last Update Date
2021-02-23
Business Address
FATIMA SHANI RICHARDSON
1294 LEISURE DR
SUMMERVILLE, SC 29486-2211
Phone number: 973-494-3128
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Mailing Address
FATIMA SHANI RICHARDSON
1294 LEISURE DR
SUMMERVILLE, SC 29486-2211
Phone number: 973-494-3128
Copy
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