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1477279990
FANTA BA
DOVER, DE
NPI
1477279990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: DE Q4-0010429)
Enumeration Date
2022-10-17
Last Update Date
2023-08-31
Business Address
FANTA BA
9 E LOOCKERMAN ST STE 309
DOVER, DE 19901-8305
Phone number: 302-734-2700
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Mailing Address
FANTA BA
9 E LOOCKERMAN ST STE 309
DOVER, DE 19901-8305
Phone number: 302-734-2700
Copy
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