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1174949515
LATASHA TATUM
STOCKTON, CA
NPI
1174949515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-03-10
Last Update Date
2014-03-10
Business Address
-- LATASHA TATUM
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8842
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Mailing Address
-- LATASHA TATUM
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8842
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