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1205371622
ELISE LATTIMORE
KENNESAW, GA
NPI
1205371622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA002148)
Enumeration Date
2016-12-20
Last Update Date
2016-12-20
Business Address
-- ELISE LATTIMORE
3900 GEORGE BUSBEE PKWY NW APT. 808
KENNESAW, GA 30144-6637
Phone number: 678-522-9030
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Mailing Address
-- ELISE LATTIMORE
815 ATLANTA HIGHWAY
CUMMING, GA 30040
Phone number:
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