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1093390411
TAMIKCO DESHAUN WAITES
DALLAS, TX
NPI
1093390411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-03-17
Last Update Date
2021-03-17
Business Address
TAMIKCO DESHAUN WAITES
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-857-0617
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Mailing Address
TAMIKCO DESHAUN WAITES
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number:
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