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1205669694
KAYLA DIANE TATUM
ATHENS, GA
NPI
1205669694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-08-22
Last Update Date
2024-08-22
Business Address
KAYLA DIANE TATUM
110 PINYON PINE CIR APT 6003
ATHENS, GA 30606-5687
Phone number: 912-850-0183
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Mailing Address
KAYLA DIANE TATUM
110 PINYON PINE CIR APT 6003
ATHENS, GA 30606-5687
Phone number: 912-850-0183
Copy
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