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1457750432
LATASHA DEVONNE JEFFERSON
STOCKBRIDGE, GA
NPI
1457750432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN195618)
Enumeration Date
2014-08-15
Last Update Date
2024-05-09
Business Address
Mrs. LATASHA DEVONNE JEFFERSON FNP
105 N PARK TRL STE 300
STOCKBRIDGE, GA 30281-7432
Phone number: 678-284-0800
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Mailing Address
Mrs. LATASHA DEVONNE JEFFERSON FNP
885 HWY 138 E
STOCKBRIDGE, GA 30281-7733
Phone number: 470-377-2552
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