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1518664671
EBONY SUMAE TAYLOR
FAIRFIELD, CA
NPI
1518664671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2023-02-09
Last Update Date
2023-06-05
Business Address
EBONY SUMAE TAYLOR
2261 S WATNEY WAY
FAIRFIELD, CA 94533-6757
Phone number: 707-980-4581
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Mailing Address
EBONY SUMAE TAYLOR
2261 S WATNEY WAY
FAIRFIELD, CA 94533-6757
Phone number: 707-980-4581
Copy
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