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1013431220
LATASHA DUBOSE
DOUGLASVILLE, GA
NPI
1013431220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN094202)
Enumeration Date
2017-07-29
Last Update Date
2017-07-29
Business Address
LATASHA DUBOSE
2930 BLUFF WINDS PL
DOUGLASVILLE, GA 30135-8683
Phone number: 678-695-3734
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Mailing Address
LATASHA DUBOSE
8491 HOSPITAL DR
DOUGLASVILLE, GA 30134-2412
Phone number: 678-695-3734
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