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1265887939
TATISHA CLEMONS
CHICAGO, IL
NPI
1265887939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2016-04-29
Last Update Date
2016-05-23
Business Address
-- TATISHA CLEMONS
10507 S WESTERN AVE
CHICAGO, IL 60643-2527
Phone number: 773-425-4702
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Mailing Address
-- TATISHA CLEMONS
10507 S WESTERN AVE
CHICAGO, IL 60643-2527
Phone number: 773-425-4702
Copy
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