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1275021396
TANISHA ANDREA PRIMAS
MACON, GA
NPI
1275021396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
TANISHA ANDREA PRIMAS
560 OGLETHORPE ST
MACON, GA 31201-6842
Phone number: 478-456-5154
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Mailing Address
TANISHA ANDREA PRIMAS
375 AMANDA DR
GRAY, GA 31032-6153
Phone number:
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