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1134638505
LATASHA NICHOLS
AIKEN, SC
NPI
1134638505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: SC 1800036335)
Enumeration Date
2017-09-28
Last Update Date
2022-07-21
Business Address
LATASHA NICHOLS
110 MILLRACE CIRCLE
AIKEN, SC 29805
Phone number: 803-552-2008
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Mailing Address
LATASHA NICHOLS
110 MILLRACE CIR
AIKEN, SC 29805-9324
Phone number: 803-552-2008
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