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1295504017
TISA ROGERS
DURHAM, NC
NPI
1295504017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2023-12-20
Last Update Date
2023-12-20
Business Address
TISA ROGERS
306 CHERRY GROVE STREET
DURHAM, NC 27703
Phone number: 980-286-2713
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Mailing Address
TISA ROGERS
306 CHERRY GROVE STREET
DURHAM, NC 27703
Phone number: 980-286-2713
Copy
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