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1548886179
LATASHA EILEEN LEWIS
DECATUR, GA
NPI
1548886179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN155558)
Enumeration Date
2020-06-19
Last Update Date
2020-06-19
Business Address
LATASHA EILEEN LEWIS RN
2615 PARK CENTRAL BLVD
DECATUR, GA 30035-3907
Phone number: 404-667-0171
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Mailing Address
LATASHA EILEEN LEWIS RN
2615 PARK CENTRAL BLVD
DECATUR, GA 30035-3907
Phone number: 404-667-0171
Copy
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