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1992494140
SHANNON MONIQUE BURKHALTER
COVINGTON, GA
NPI
1992494140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
372600000X Adult Companion
Additional Taxonomies
374K00000X
374U00000X Home Health Aide
Enumeration Date
2023-05-03
Last Update Date
2023-05-03
Business Address
SHANNON MONIQUE BURKHALTER
20 TARA WAY
COVINGTON, GA 30016-8079
Phone number: 470-807-6735
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Mailing Address
SHANNON MONIQUE BURKHALTER
20 TARA WAY
COVINGTON, GA 30016-8079
Phone number:
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