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1093107575
TANISHA DOUGLAS
MIAMI, FL
NPI
1093107575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-02-20
Last Update Date
2015-02-20
Business Address
-- TANISHA DOUGLAS
22790 SW 112TH AVE
MIAMI, FL 33170-7602
Phone number: 305-235-2616
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Mailing Address
-- TANISHA DOUGLAS
22790 SW 112TH AVE
MIAMI, FL 33170-7602
Phone number: 305-235-2616
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