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Individual
DEANDRE CAPRICE LERONE TABRON
Active
Individual
DEANDRE CAPRICE LERONE TABRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H13067076
DRIVERS LICENSE
NE
Enumeration date
08/18/2025
Last updated
08/18/2025
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