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1891139622
TANIQUA DESHAE WOOTEN
CLEVELAND, OH
NPI
1891139622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2013-04-23
Last Update Date
2013-04-23
Business Address
-- TANIQUA DESHAE WOOTEN HHA
9601 MANOR AVE
CLEVELAND, OH 44104-4729
Phone number: 216-688-6949
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Mailing Address
-- TANIQUA DESHAE WOOTEN HHA
9601 MANOR AVE
CLEVELAND, OH 44104-4729
Phone number: 216-688-6949
Copy
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