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1972045078
SHAKELIA STEPHENS
GEORGETOWN, SC
NPI
1972045078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: SC 178904)
Enumeration Date
2016-11-07
Last Update Date
2016-11-07
Business Address
-- SHAKELIA STEPHENS
4025 N FRASER ST
GEORGETOWN, SC 29440-6659
Phone number: 843-372-7304
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Mailing Address
-- SHAKELIA STEPHENS
4025 N FRASER ST
GEORGETOWN, SC 29440-6659
Phone number:
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