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1205116001
MICKILA HARRIS
COLUMBUS, GA
NPI
1205116001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-08-24
Last Update Date
2011-08-24
Business Address
-- MICKILA HARRIS
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-323-0174
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Mailing Address
-- MICKILA HARRIS
3714 WILLIS RD APT # D23
COLUMBUS, GA 31904-4718
Phone number: 478-719-9560
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