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1962029330
TAVONIA STACKHOUSE
BALTIMORE, MD
NPI
1962029330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2020-07-01
Last Update Date
2020-07-07
Business Address
TAVONIA STACKHOUSE
713 W PRATT ST
BALTIMORE, MD 21201-1023
Phone number: 443-941-6063
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Mailing Address
TAVONIA STACKHOUSE
4110 HUNTERS HILL CIR
RANDALLSTOWN, MD 21133-5323
Phone number: 443-941-6063
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