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1922876002
TIAIRA DOMINIQUE HASKELL
SACRAMENTO, CA
NPI
1922876002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-12-18
Last Update Date
2023-12-18
Business Address
TIAIRA DOMINIQUE HASKELL
1103 N B ST STE D
SACRAMENTO, CA 95811-0326
Phone number: 916-378-8266
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Mailing Address
TIAIRA DOMINIQUE HASKELL
1103 N B ST STE D
SACRAMENTO, CA 95811-0326
Phone number: 916-378-8266
Copy
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