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1144995838
TAYELL LEFTRIDGE
VALPARAISO, IN
NPI
1144995838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-08-13
Last Update Date
2021-08-13
Business Address
MRS. TAYELL LEFTRIDGE CHW
2600 ROOSEVELT RD STE 200-6
VALPARAISO, IN 46383-0971
Phone number: 219-615-0095
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Mailing Address
MRS. TAYELL LEFTRIDGE CHW
2600 ROOSEVELT RD STE 200-6
VALPARAISO, IN 46383-0971
Phone number: 219-615-0095
Copy
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