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1992335400
TESSA COLLEEN DIMICK
OPELIKA, AL
NPI
1992335400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AL S12664)
Enumeration Date
2020-01-23
Last Update Date
2020-01-23
Business Address
TESSA COLLEEN DIMICK
51 LEE ROAD 2104
OPELIKA, AL 36804-2090
Phone number: 334-790-1224
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Mailing Address
TESSA COLLEEN DIMICK
51 LEE ROAD 2104
OPELIKA, AL 36804-2090
Phone number: 334-790-1224
Copy
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