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1063005767
LATRICIA A DALTON
AUSTELL, GA
NPI
1063005767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2021-02-15
Last Update Date
2021-02-15
Business Address
LATRICIA A DALTON
2726 FLINTLOCK PL
AUSTELL, GA 30106-2707
Phone number: 678-778-3510
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Mailing Address
LATRICIA A DALTON
2726 FLINTLOCK PL
AUSTELL, GA 30106-2707
Phone number: 678-778-3510
Copy
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