KIMBERLY LATRICE HACKETT

COLUMBUS, GA
NPI1376055491
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2017-10-30
Last Update Date2017-10-30
Business Address
KIMBERLY LATRICE HACKETT
1230 2ND AVE
COLUMBUS, GA 31901-5241
Phone number: 706-321-9606
Mailing Address
KIMBERLY LATRICE HACKETT
1230 2ND AVE
COLUMBUS, GA 31901-5241
Phone number:
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