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1972361095
JAIVION LATTIMORE
FORT WORTH, TX
NPI
1972361095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist Speech-Language Assistant
(Licence: TX 43702)
Enumeration Date
2024-03-12
Last Update Date
2024-03-12
Business Address
JAIVION LATTIMORE
6817 CUMBERLAND RD
FORT WORTH, TX 76116-9101
Phone number: 817-815-1700
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Mailing Address
JAIVION LATTIMORE
4600 MARK IV PKWY # 1616215
FORT WORTH, TX 76161-8501
Phone number:
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