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1023852423
LATASHA MCCRACKEN
DALLAS, GA
NPI
1023852423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA vet009613)
Enumeration Date
2024-06-20
Last Update Date
2024-06-20
Business Address
LATASHA MCCRACKEN
6407 STANBROUGH LN
DALLAS, GA 30157-6557
Phone number: 678-628-2198
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Mailing Address
LATASHA MCCRACKEN
6407 STANBROUGH LN
DALLAS, GA 30157-6557
Phone number: 678-628-2198
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