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1063941011
TASHA L PREWITT
PORT ORANGE, FL
NPI
1063941011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 22614)
Enumeration Date
2017-06-05
Last Update Date
2017-06-05
Business Address
TASHA L PREWITT
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8321
Phone number: 888-265-2680
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Mailing Address
TASHA L PREWITT
PO BOX 91685
CITY OF INDUSTRY, CA 91715-1685
Phone number:
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