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1134695190
TAMMERA BLACK
ORLANDO, FL
NPI
1134695190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2018-10-17
Last Update Date
2019-07-25
Business Address
TAMMERA BLACK
1969 WESTPOINTE CIR
ORLANDO, FL 32835
Phone number: 407-960-0192
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Mailing Address
TAMMERA BLACK
1969 WESTPOINTE CIR
ORLANDO, FL 32835-8183
Phone number: 407-960-0192
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