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1811472012
TANISHA HERNANDEZ
PALM CITY, FL
NPI
1811472012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-10-03
Last Update Date
2018-10-03
Business Address
TANISHA HERNANDEZ
1765 SW CAPTAINS PL
PALM CITY, FL 34990-1747
Phone number: 772-266-8727
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Mailing Address
TANISHA HERNANDEZ
770 SW SARDINIA AVE
PORT SAINT LUCIE, FL 34953-3745
Phone number: 856-408-8686
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