TYEQUAAN LEROY VALENITN TATE

SHAMOKIN DAM, PA
NPI1891366910
Other NameTY VALENTIN TATE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-07-09
Last Update Date2021-07-09
Business Address
TYEQUAAN LEROY VALENITN TATE
45 U.S. 11
SHAMOKIN DAM, PA 17876
Phone number: 570-802-3099
Mailing Address
TYEQUAAN LEROY VALENITN TATE
6 SAND HILL RD
SELINSGROVE, PA 17870-1306
Phone number: 215-433-6442
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