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1982079091
IEISHA FARRELL
TALLAHASSEE, FL
NPI
1982079091
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Doing Business As
IEISHA FARRELL
Entity Type
Organization
Authorized Contact
IEISHA T FARRELL
Solo Provider
850-445-8821
Organization Subpart ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2015-12-01
Last Update Date
2015-12-01
Business Address
IEISHA FARRELL
708 POINTE CT APT A
TALLAHASSEE, FL 32308-6170
Phone number: 850-445-8821
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Mailing Address
IEISHA FARRELL
708 POINTE CT APT A
TALLAHASSEE, FL 32308-6170
Phone number: 850-445-8821
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