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1003537556
DELISHA DANIEAL OFERRELL
AUGUSTA, GA
NPI
1003537556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
405300000X Prevention Professional
(Licence: GA AT001424)
Enumeration Date
2022-09-02
Last Update Date
2022-09-02
Business Address
DELISHA DANIEAL OFERRELL ATC
3570 WHEELER RD
AUGUSTA, GA 30909-1893
Phone number: 706-922-9627
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Mailing Address
DELISHA DANIEAL OFERRELL ATC
3570 WHEELER RD
AUGUSTA, GA 30909-1893
Phone number:
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