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1902556350
TABATHA DEGRAVE
PLANTATION, FL
NPI
1902556350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: FL 336808)
Enumeration Date
2022-03-28
Last Update Date
2022-03-28
Business Address
TABATHA DEGRAVE CLC
721 SW 60TH AVE
PLANTATION, FL 33317-3931
Phone number: 954-804-4904
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Mailing Address
TABATHA DEGRAVE CLC
721 SW 60TH AVE
PLANTATION, FL 33317-3931
Phone number: 954-804-4904
Copy
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