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1306581517
TABATHA NIKITA LANE
STONE MOUNTAIN, GA
NPI
1306581517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-02
Last Update Date
2022-05-02
Business Address
TABATHA NIKITA LANE
503 WHITNEY CHASE
STONE MOUNTAIN, GA 30088-4232
Phone number: 786-548-5154
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Mailing Address
TABATHA NIKITA LANE
503 WHITNEY CHASE
STONE MOUNTAIN, GA 30088-4232
Phone number:
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