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1174248108
TAMBANEKA WADE
LITHONIA, GA
NPI
1174248108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: GA CN0028858650)
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
TAMBANEKA WADE CN0028858650
5959 FAIRINGTON RD APT 7C
LITHONIA, GA 30038-1757
Phone number: 404-246-5307
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Mailing Address
TAMBANEKA WADE CN0028858650
5959 FAIRINGTON RD APT 7C
LITHONIA, GA 30038-1757
Phone number: 404-246-5307
Copy
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