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1073124830
TANESHA GORDON
CULVER CITY, CA
NPI
1073124830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2020-08-13
Last Update Date
2023-06-20
Business Address
TANESHA GORDON
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232-6824
Phone number: 310-945-3350
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Mailing Address
TANESHA GORDON
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232-6824
Phone number: 310-945-3350
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