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1235797051
LATASHA PAULETTE GIBBS
LAWRENCEVILLE, GA
NPI
1235797051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
Enumeration Date
2019-06-05
Last Update Date
2019-06-05
Business Address
LATASHA PAULETTE GIBBS
4955 SUGARLOAF PKWY STE F
LAWRENCEVILLE, GA 30044-6997
Phone number: 800-324-2688
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Mailing Address
LATASHA PAULETTE GIBBS
1530 MISTY VALLEY DR
LAWRENCEVILLE, GA 30045-7033
Phone number: 770-539-5662
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