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1144812397
LATISHIA KING
MCDONOUGH, GA
NPI
1144812397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN092595)
Enumeration Date
2021-02-09
Last Update Date
2021-02-09
Business Address
LATISHIA KING LPN
139 HENRY PKWY
MCDONOUGH, GA 30253-6636
Phone number: 770-358-5252
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Mailing Address
LATISHIA KING LPN
202 PINEVIEW DR
THOMASTON, GA 30286-2309
Phone number: 706-975-9655
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