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1104392984
KEITH TATUM
SAVANNAH, GA
NPI
1104392984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-10-18
Last Update Date
2018-10-18
Business Address
KEITH TATUM
613 STEPHENSON AVE
SAVANNAH, GA 31405-5986
Phone number: 912-988-1444
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Mailing Address
KEITH TATUM
1321 MURFREESBORO PIKE STE 702
NASHVILLE, TN 37217-2679
Phone number: 615-695-2227
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