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1992269104
SHAWN DONNIKA SOTOFALCON
FLORISSANT, MO
NPI
1992269104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156F00000X Technician/Technologist
(Licence: MO 0000000)
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
SHAWN DONNIKA SOTOFALCON
11921 CATO DR
FLORISSANT, MO 63033-6903
Phone number: 314-346-8520
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Mailing Address
SHAWN DONNIKA SOTOFALCON
11921 CATO DR
FLORISSANT, MO 63033-6903
Phone number: 314-346-8520
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