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1376207969
TESSA REE MINGO
LOCUST GROVE, GA
NPI
1376207969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
(Licence: GA C0138190)
Enumeration Date
2021-10-28
Last Update Date
2021-10-28
Business Address
TESSA REE MINGO
4912 BILL GARDNER PARKWAY
LOCUST GROVE, GA 30248-3025
Phone number: 662-542-4644
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Mailing Address
TESSA REE MINGO
2030 TOWNE PARK DR
MCDONOUGH, GA 30252
Phone number: 662-542-4464
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