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1891375655
SHANTELLE SMALL
CHARLESTON, WV
NPI
1891375655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-04-14
Last Update Date
2021-04-14
Business Address
SHANTELLE SMALL
200 ASSOCIATION DR STE 130
CHARLESTON, WV 25311-1277
Phone number: 304-988-4200
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Mailing Address
SHANTELLE SMALL
200 ASSOCIATION DR STE 130
CHARLESTON, WV 25311-1277
Phone number: 304-988-4200
Copy
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