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1104209469
TAWANDA JEANNETTE JEFFCOAT
WILMINGTON, DE
NPI
1104209469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
302R00000X Health Maintenance Organization
(Licence: DE 46-3211044)
Enumeration Date
2015-07-06
Last Update Date
2015-07-06
Business Address
-- TAWANDA JEANNETTE JEFFCOAT
225 FILBERT AVE
WILMINGTON, DE 19805-2549
Phone number: 302-543-3219
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Mailing Address
-- TAWANDA JEANNETTE JEFFCOAT
225 FILBERT AVE
WILMINGTON, DE 19805-2549
Phone number: 302-543-3219
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