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1447015672
LAZEFIA HOLLEY
TIFTON, GA
NPI
1447015672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-02-16
Last Update Date
2024-02-16
Business Address
LAZEFIA HOLLEY PP
909 42ND ST E
TIFTON, GA 31794-1512
Phone number: 229-848-7640
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Mailing Address
LAZEFIA HOLLEY PP
909 42ND ST E
TIFTON, GA 31794-1512
Phone number: 229-848-7640
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