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1568011120
LACANA N TENN
FAYETTEVILLE, GA
NPI
1568011120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA MT008312)
Enumeration Date
2019-09-06
Last Update Date
2019-09-06
Business Address
Mrs. LACANA N TENN MLT
106 NEW HOPE RD
FAYETTEVILLE, GA 30214-1360
Phone number: 678-521-6434
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Mailing Address
Mrs. LACANA N TENN MLT
569 KIMBERWICK DR
HAMPTON, GA 30228-3412
Phone number: 678-521-6434
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