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1255926937
TIELESHA M COLLINS
FORT WORTH, TX
NPI
1255926937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2021-03-04
Last Update Date
2021-03-04
Business Address
TIELESHA M COLLINS
8808 IRISH BEND DR
FORT WORTH, TX 76123-2630
Phone number: 817-905-0812
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Mailing Address
TIELESHA M COLLINS
8808 IRISH BEND DR
FORT WORTH, TX 76123-2630
Phone number: 817-905-0812
Copy
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