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1457621393
TANISE LATTIMORE
GASTONIA, NC
NPI
1457621393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NC 71631)
Enumeration Date
2012-01-10
Last Update Date
2012-01-10
Business Address
TANISE LATTIMORE LPN
911 W HUDSON BLVD
GASTONIA, NC 28052-6430
Phone number: 704-853-5015
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Mailing Address
TANISE LATTIMORE LPN
911 W HUDSON BLVD
GASTONIA, NC 28052-6430
Phone number: 704-853-5015
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