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1215218813
KORI KOGAN
TIERRA VERDE, FL
NPI
1215218813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: FL pta21833)
Enumeration Date
2011-09-09
Last Update Date
2011-09-09
Business Address
-- KORI KOGAN PTA
626 7TH AVE N
TIERRA VERDE, FL 33715-2003
Phone number: 410-868-1624
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Mailing Address
-- KORI KOGAN PTA
35746 HARPER AVE
CLINTON TWP, MI 48035-3212
Phone number: 586-791-9203
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