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1386151801
LISA ELAINE GENTRY
MARTINEZ, GA
NPI
1386151801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC009971)
Enumeration Date
2018-01-05
Last Update Date
2018-01-05
Business Address
LISA ELAINE GENTRY
3506 PROFESSIONAL CIR STE B
MARTINEZ, GA 30907-8234
Phone number: 706-210-8855
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Mailing Address
LISA ELAINE GENTRY
3506 PROFESSIONAL CIR STE B
MARTINEZ, GA 30907-8234
Phone number: 706-210-8855
Copy
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