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1114850351
CLAIRE LACKSEN
AUGUSTA, GA
NPI
1114850351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2026-06-06
Last Update Date
2026-06-06
Business Address
CLAIRE LACKSEN
1120 15TH ST
AUGUSTA, GA 30912-0006
Phone number: 706-721-3186
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Mailing Address
CLAIRE LACKSEN
1120 15TH ST
AUGUSTA, GA 30912-0006
Phone number:
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