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1770800419
SHAWANA BAGGETT
CHICAGO, IL
NPI
1770800419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
347C00000X Private Vehicle
Additional Taxonomies
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2010-04-20
Last Update Date
2010-04-20
Business Address
-- SHAWANA BAGGETT
5057 S DREXEL BLVD
CHICAGO, IL 60615-2735
Phone number: 773-503-3099
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Mailing Address
-- SHAWANA BAGGETT
5057 S DREXEL BLVD
CHICAGO, IL 60615-2735
Phone number:
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