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1821641432
SHANTEL LATRELL HOGAN
VALDOSTA, GA
NPI
1821641432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2019-07-23
Last Update Date
2019-07-23
Business Address
SHANTEL LATRELL HOGAN MSW
1339 PARTRIDGE PL
VALDOSTA, GA 31601-6227
Phone number: 229-415-3462
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Mailing Address
SHANTEL LATRELL HOGAN MSW
1339 PARTRIDGE PL
VALDOSTA, GA 31601-6227
Phone number: 229-415-3462
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