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1003167669
AYANNA TENAY HARRIS
LITHONIA, GA
NPI
1003167669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA lpn067861)
Enumeration Date
2012-09-24
Last Update Date
2012-09-24
Business Address
-- AYANNA TENAY HARRIS LPN
2277 STONE MOUNTAIN LITHONIA RD
LITHONIA, GA 30058-5252
Phone number: 770-484-2600
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Mailing Address
-- AYANNA TENAY HARRIS LPN
1043 CARRIAGE TRACE CIR
STONE MOUNTAIN, GA 30087-4661
Phone number: 770-484-2600
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