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1528507415
SUMMARA TIBE
SUNRISE, FL
NPI
1528507415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA14998)
Enumeration Date
2017-02-13
Last Update Date
2017-02-13
Business Address
-- SUMMARA TIBE
3210 NW 84TH AVE APT 104
SUNRISE, FL 33351-8913
Phone number: 954-839-7422
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Mailing Address
-- SUMMARA TIBE
3210 NW 84TH AVE APT 104
SUNRISE, FL 33351-8913
Phone number: 954-839-7422
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