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1770230906
SHANA SHALAWN DORTCH
PENSACOLA, FL
NPI
1770230906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2022-03-08
Last Update Date
2022-03-08
Business Address
SHANA SHALAWN DORTCH
4302 HOLLYWOOD AVE
PENSACOLA, FL 32505-3859
Phone number: 850-776-6762
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Mailing Address
SHANA SHALAWN DORTCH
4302 HOLLYWOOD AVE
PENSACOLA, FL 32505-3859
Phone number: 850-776-6762
Copy
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