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1376644096
TAVORIA KELLAM
NEW YORK, NY
NPI
1376644096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: NY F000971-1)
Enumeration Date
2006-09-26
Last Update Date
2011-03-04
Business Address
Ms. TAVORIA KELLAM MW
1176 5TH AVE 2253 THIRD AVENUE 3RD FL
NEW YORK, NY 10029-6503
Phone number: 212-289-6650
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Mailing Address
Ms. TAVORIA KELLAM MW
1309 5TH AVE #29A
NEW YORK, NY 10029-3123
Phone number: 212-876-9448
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