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1427680081
LATONIA WELLS
DACULA, GA
NPI
1427680081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
171W00000X Contractor
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
LATONIA WELLS
280 BECKENHAM WALK DR
DACULA, GA 30019-6898
Phone number: 470-244-0828
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Mailing Address
LATONIA WELLS
280 BECKENHAM WALK DR
DACULA, GA 30019-6898
Phone number: 470-244-0828
Copy
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