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1801438437
TANIS BUCHANANAN
VICTORVILLE, CA
NPI
1801438437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-10-15
Last Update Date
2019-10-15
Business Address
TANIS BUCHANANAN
15095 AMARGOSA RD STE 208
VICTORVILLE, CA 92394-1879
Phone number: 760-245-4695
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Mailing Address
TANIS BUCHANANAN
15095 AMARGOSA RD STE 208
VICTORVILLE, CA 92394-1879
Phone number: 760-245-4695
Copy
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