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1477129799
JENNIE LEE TATE
FORT WORTH, TX
NPI
1477129799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
Enumeration Date
2021-05-27
Last Update Date
2021-05-27
Business Address
JENNIE LEE TATE RT
2201 SE LOOP 820
FORT WORTH, TX 76119-5863
Phone number: 817-730-0327
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Mailing Address
JENNIE LEE TATE RT
2201 SE LOOP 820
FORT WORTH, TX 76119-5863
Phone number: 817-730-0327
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