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1699593459
ALEXIS SHAWNTEL VIVIEN
BOSTON, MA
NPI
1699593459
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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
2024-10-01
Last Update Date
2024-10-01
Business Address
ALEXIS SHAWNTEL VIVIEN
1 KNEELAND ST
BOSTON, MA 02111-1527
Phone number: 704-490-1039
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Mailing Address
ALEXIS SHAWNTEL VIVIEN
665 WASHINGTON ST UNIT 2115
BOSTON, MA 02111-1653
Phone number: 704-490-1039
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