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1316355530
TANISHA MINOR
VAN NUYS, CA
NPI
1316355530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-07-31
Last Update Date
2017-02-06
Business Address
-- TANISHA MINOR
15339 SATICOY ST
VAN NUYS, CA 91406-3345
Phone number: 818-267-2667
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Mailing Address
-- TANISHA MINOR
15339 SATICOY ST
VAN NUYS, CA 91406-3345
Phone number: 818-267-2677
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