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1740028430
TATUM BASISTA
SARASOTA, FL
NPI
1740028430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-07-17
Last Update Date
2024-07-17
Business Address
TATUM BASISTA
8245 VICELA DR
SARASOTA, FL 34240-1462
Phone number: 800-210-0814
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Mailing Address
TATUM BASISTA
8245 VICELA DR
SARASOTA, FL 34240-1462
Phone number:
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