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1912674763
TANESHIA LAQUETTE WAKEFIELD
COLUMBUS, GA
NPI
1912674763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-08-27
Last Update Date
2021-08-27
Business Address
TANESHIA LAQUETTE WAKEFIELD
1110 13TH ST STE D
COLUMBUS, GA 31901-2246
Phone number: 706-780-1704
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Mailing Address
TANESHIA LAQUETTE WAKEFIELD
3711 ARMOUR AVE APT 1
COLUMBUS, GA 31904-5253
Phone number: 352-818-7022
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