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1396207411
TANESHIA R CLAY
SAINT CLOUD, MN
NPI
1396207411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP140149)
Enumeration Date
2019-04-06
Last Update Date
2019-04-06
Business Address
TANESHIA R CLAY
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-255-6350
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Mailing Address
TANESHIA R CLAY
4653 CLOVER ST
HOUSTON, TX 77051-2809
Phone number: 713-416-3827
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