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1730505025
SHANNON MOORE-SHABAZZ
PHILADELPHIA, PA
NPI
1730505025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
1744G0900X Specialist, Graphics Designer
Enumeration Date
2014-03-11
Last Update Date
2014-03-11
Business Address
-- SHANNON MOORE-SHABAZZ Doula/Birth Worker
6313 N FAIRHILL ST
PHILADELPHIA, PA 19126-3846
Phone number: 267-471-8648
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Mailing Address
-- SHANNON MOORE-SHABAZZ Doula/Birth Worker
PO BOX 28667
PHILADELPHIA, PA 19151-0667
Phone number: 267-471-8648
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