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1104280197
LESLIE ANN BACASTOW
COMER, GA
NPI
1104280197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-04-06
Last Update Date
2016-04-06
Business Address
Mrs. LESLIE ANN BACASTOW
28 BRAD GRAHAM RD
COMER, GA 30629-6200
Phone number: 706-540-7348
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Mailing Address
Mrs. LESLIE ANN BACASTOW
28 BRAD GRAHAM RD
COMER, GA 30629-6200
Phone number: 706-540-7348
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