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1245601137
LATISHA HARRIS
JONESBORO, GA
NPI
1245601137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QH0100X Clinic/Center Health Service
(Licence: GA 390588082)
Enumeration Date
2015-10-17
Last Update Date
2015-10-17
Business Address
LATISHA HARRIS
307 KENDRICK ESTATES DR
JONESBORO, GA 30238-2196
Phone number: 770-471-8037
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Mailing Address
LATISHA HARRIS
307 KENDRICK ESTATES DR
JONESBORO, GA 30238-2196
Phone number: 770-471-8037
Copy
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