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1750006680
TANISHA BRIANNA BACON
CLEVELAND, OH
NPI
1750006680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Additional Taxonomies
376K00000X Nurse's Aide
Enumeration Date
2022-10-04
Last Update Date
2022-10-11
Business Address
Ms. TANISHA BRIANNA BACON
10824 OLIVET AVE
CLEVELAND, OH 44108-3528
Phone number: 216-688-5977
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Mailing Address
Ms. TANISHA BRIANNA BACON
10824 OLIVET AVE
CLEVELAND, OH 44108-3528
Phone number: 216-688-5977
Copy
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