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1184260275
KADASHA FAIRCLOUGH
LOGANVILLE, GA
NPI
1184260275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN286337)
Enumeration Date
2019-11-23
Last Update Date
2019-11-23
Business Address
KADASHA FAIRCLOUGH RN
1340 ALEXANDER XING
LOGANVILLE, GA 30052-3985
Phone number: 404-916-9226
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Mailing Address
KADASHA FAIRCLOUGH RN
1340 ALEXANDER XING
LOGANVILLE, GA 30052-3985
Phone number: 404-916-9226
Copy
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