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1861194029
SHANTAE GORDON
WASHINGTON, DC
NPI
1861194029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-03-21
Last Update Date
2023-03-21
Business Address
SHANTAE GORDON
1434 SARATOGA AVE NE APT 3
WASHINGTON, DC 20018-1909
Phone number: 202-300-0947
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Mailing Address
SHANTAE GORDON
2320 N CAPITOL ST NW
WASHINGTON, DC 20002-1106
Phone number: 202-607-4050
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