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1114624996
LATORIA KIESTA BYAS
HARRISBURG, PA
NPI
1114624996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2023-02-13
Last Update Date
2023-02-13
Business Address
LATORIA KIESTA BYAS
4600 JONESTOWN ROAD
HARRISBURG, PA 17109
Phone number: 717-635-8238
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Mailing Address
LATORIA KIESTA BYAS
4600 JONESTOWN ROAD SPC #74
HARRISBURG, PA 17109
Phone number: 717-635-8238
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