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1942970421
SHATAE ANDERSON
BEDFORD, TX
NPI
1942970421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2021-09-16
Last Update Date
2021-09-23
Business Address
SHATAE ANDERSON
805 CENTRAL DR APT 174
BEDFORD, TX 76022-7806
Phone number: 817-823-6370
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Mailing Address
SHATAE ANDERSON
1300 HARWOOD RD UNIT 210211
BEDFORD, TX 76095-1508
Phone number: 817-823-6370
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