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1790975894
TANISHA QUEMAI CHAMPION-BENJAMIN
FAIRFIELD, CA
NPI
1790975894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-07-26
Last Update Date
2007-07-26
Business Address
-- TANISHA QUEMAI CHAMPION-BENJAMIN
956 E TABOR AVE
FAIRFIELD, CA 94533-4104
Phone number: 707-422-9345
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Mailing Address
-- TANISHA QUEMAI CHAMPION-BENJAMIN
50 VILLA CIR
FAIRFIELD, CA 94533-2523
Phone number: 707-428-3537
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