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1366262792
STEVEN LAFAYETTE
MOULTRIE, GA
NPI
1366262792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-10-11
Last Update Date
2024-10-11
Business Address
STEVEN LAFAYETTE
2050 TALLOKAS RD
MOULTRIE, GA 31768-7666
Phone number: 229-869-4109
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Mailing Address
STEVEN LAFAYETTE
334 THOROUGHBRED LN
MACON, GA 31216-7385
Phone number: 229-869-4109
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