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1538639455
SHANEAN TABOR
RICHMOND, KY
NPI
1538639455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2018-12-04
Last Update Date
2018-12-04
Business Address
SHANEAN TABOR
100 IVY CREEK DR
RICHMOND, KY 40475-6021
Phone number: 317-615-0036
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Mailing Address
SHANEAN TABOR
100 IVY CREEK DR
RICHMOND, KY 40475-6021
Phone number: 317-615-0036
Copy
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