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1770009821
TANIESHA MCKINLEY
FAIRFIELD, CA
NPI
1770009821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2017-08-21
Last Update Date
2018-07-05
Business Address
TANIESHA MCKINLEY
2101 COURAGE DR.
FAIRFIELD, CA 94533
Phone number: 707-639-4680
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Mailing Address
TANIESHA MCKINLEY
830 B ST
SAN RAFAEL, CA 94901-3003
Phone number: 415-459-5843
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