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1285842286
MIRIAM KORAISHA TAHIR
LAKELAND, FL
NPI
1285842286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA 10204)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- MIRIAM KORAISHA TAHIR C.O.T.A
4242 LAKELAND HIGHLANDS RD LAKELAND
LAKELAND, FL 33813-2816
Phone number: 863-607-5948
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Mailing Address
-- MIRIAM KORAISHA TAHIR C.O.T.A
2224 EDEN PKWY LAKELAND
LAKELAND, FL 33803-2816
Phone number: 863-687-0668
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