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1194580969
TABITHA SLIVENSKY
UKIAH, CA
NPI
1194580969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-02-20
Last Update Date
2024-02-20
Business Address
TABITHA SLIVENSKY
150 GIBSON ST
UKIAH, CA 95482-3941
Phone number: 707-462-4770
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Mailing Address
TABITHA SLIVENSKY
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-467-2010
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