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1659030179
TIA SHANAE PARKER
LAKE CITY, FL
NPI
1659030179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: CMA)
Enumeration Date
2021-12-13
Last Update Date
2021-12-13
Business Address
TIA SHANAE PARKER
439 SW MICHIGAN ST
LAKE CITY, FL 32025-0440
Phone number: 352-374-5600
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Mailing Address
TIA SHANAE PARKER
1565 SW WILLISTON RD
GAINESVILLE, FL 32608-4044
Phone number: 352-374-5600
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