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1518598929
SHIRLEY R HARRIS
BLAKELY, GA
NPI
1518598929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2020-02-04
Last Update Date
2020-02-04
Business Address
SHIRLEY R HARRIS
1222 LUKE STATION RD
BLAKELY, GA 39823-6010
Phone number: 229-308-0598
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Mailing Address
SHIRLEY R HARRIS
1222 LUKE STATION RD
BLAKELY, GA 39823-6010
Phone number: 229-308-0598
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