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1861121170
ANGELA MARIE SHADE
STUART, FL
NPI
1861121170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
247200000X Technician, Other
(Licence: MD 247200000X)
Enumeration Date
2022-06-10
Last Update Date
2022-06-10
Business Address
ANGELA MARIE SHADE
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number: 855-832-6727
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Mailing Address
ANGELA MARIE SHADE
48498 MATTAPANY RD
LEXINGTON PARK, MD 20653-3507
Phone number: 240-496-9568
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