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1316230527
TAMARA ALISHA IVY
WAYNESBORO, GA
NPI
1316230527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2011-05-20
Last Update Date
2011-05-20
Business Address
Ms. TAMARA ALISHA IVY
138 WASHINGTON AVE
WAYNESBORO, GA 30830-8421
Phone number: 706-962-2652
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Mailing Address
Ms. TAMARA ALISHA IVY
138 WASHINGTON AVE
WAYNESBORO, GA 30830-8421
Phone number: 706-962-2652
Copy