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1447717913
TIJUANA DEBOSE
TAMPA, FL
NPI
1447717913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2019-02-21
Last Update Date
2021-05-27
Business Address
TIJUANA DEBOSE
10909 MEMORIAL HWY
TAMPA, FL 33615-2511
Phone number: 813-855-4435
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Mailing Address
TIJUANA DEBOSE
1094 STRATTON AVE
SPRING HILL, FL 34609-6462
Phone number: 813-562-9074
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