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1104507888
LACORSCIA MACKEY
COLUMBUS, GA
NPI
1104507888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: GA cn0030053979)
Enumeration Date
2023-07-26
Last Update Date
2023-07-26
Business Address
LACORSCIA MACKEY CNA
3210 12TH AVE
COLUMBUS, GA 31904-7811
Phone number: 706-587-4436
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Mailing Address
LACORSCIA MACKEY CNA
3210 12TH AVE
COLUMBUS, GA 31904-7811
Phone number: 706-587-4436
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