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1164941118
TANISHA COPELAND
KANKAKEE, IL
NPI
1164941118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2017-09-11
Last Update Date
2017-09-11
Business Address
TANISHA COPELAND
1472 S 3RD AVE
KANKAKEE, IL 60901-4915
Phone number: 815-386-4940
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Mailing Address
TANISHA COPELAND
1472 S 3RD AVE
KANKAKEE, IL 60901-4915
Phone number:
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