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1194280727
TAKERIA JALEESA BORDERS
BARTOW, FL
NPI
1194280727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: WI 19-122)
Enumeration Date
2019-02-07
Last Update Date
2019-02-07
Business Address
TAKERIA JALEESA BORDERS SA-C
1035 W TEE CIR
BARTOW, FL 33830-6140
Phone number: 813-494-2635
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Mailing Address
TAKERIA JALEESA BORDERS SA-C
1035 W TEE CIR
BARTOW, FL 33830-6140
Phone number: 813-494-2635
Copy