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1235499054
TAKABOOM TIERA DAVENPORT
WASHINGTON, DC
NPI
1235499054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-05-26
Last Update Date
2012-07-05
Business Address
-- TAKABOOM TIERA DAVENPORT hha
901 1ST ST NW
WASHINGTON, DC 20001-1403
Phone number: 202-282-3004
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Mailing Address
-- TAKABOOM TIERA DAVENPORT hha
901 1ST ST NW
WASHINGTON, DC 20001-1403
Phone number: 202-282-3004
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