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1710545884
TANICA EBONI WASHINGTON
FRESNO, CA
NPI
1710545884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-06-03
Last Update Date
2019-06-03
Business Address
TANICA EBONI WASHINGTON
4151 N BLYTHE AVE APT 132
FRESNO, CA 93722-6376
Phone number: 661-384-5193
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Mailing Address
TANICA EBONI WASHINGTON
4151 N BLYTHE AVE APT 132
FRESNO, CA 93722-6376
Phone number: 661-384-5193
Copy
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