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1366066441
TANISHA J GANUB
STOCKTON, CA
NPI
1366066441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2020-06-03
Last Update Date
2020-06-03
Business Address
TANISHA J GANUB
1803 W MARCH LN STE C&D
STOCKTON, CA 95207-6414
Phone number: 209-636-5353
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Mailing Address
TANISHA J GANUB
PO BOX 581014
ELK GROVE, CA 95758-0017
Phone number: 916-825-2545
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