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1033799010
TEQUASIA WATTS
DOUGLAS, GA
NPI
1033799010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
(Licence: GA 034-R-2040)
Enumeration Date
2021-04-13
Last Update Date
2021-04-13
Business Address
TEQUASIA WATTS
508 GASKIN AVE S
DOUGLAS, GA 31533-1806
Phone number: 912-292-8722
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Mailing Address
TEQUASIA WATTS
400 ROCKBOROUGH TER
STONE MOUNTAIN, GA 30083-3848
Phone number: 678-637-9984
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