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1124741764
TANEIA COSTA
PROVIDENCE, RI
NPI
1124741764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-09-20
Last Update Date
2022-09-20
Business Address
TANEIA COSTA BT
201 JASTRAM ST
PROVIDENCE, RI 02908-2708
Phone number: 401-854-6147
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Mailing Address
TANEIA COSTA BT
201 JASTRAM ST
PROVIDENCE, RI 02908-2708
Phone number: 401-854-6147
Copy
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