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1992347991
MICHAEL SHACKELFORD
HOUSTON, TX
NPI
1992347991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-10-10
Last Update Date
2019-10-10
Business Address
Mr. MICHAEL SHACKELFORD
4007 MERIDIAN
HOUSTON, TX 77017
Phone number: 832-977-8632
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Mailing Address
Mr. MICHAEL SHACKELFORD
4007 MERIDIAN
HOUSTON, TX 77017
Phone number: 832-977-8632
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