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Individual
TANISHA THOMPSON
Active
Individual
TANISHA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
273695800
NY
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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