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1568831295
DEMETRICE LASHAY HARRIS
MACON, GA
NPI
1568831295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: GA MT003571)
Enumeration Date
2015-09-23
Last Update Date
2015-09-23
Business Address
-- DEMETRICE LASHAY HARRIS LMT
750 RIVERSIDE DRIVE LN STE 160
MACON, GA 31201-2669
Phone number: 478-345-5531
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Mailing Address
-- DEMETRICE LASHAY HARRIS LMT
750 RIVERSIDE DRIVE LN
MACON, GA 31201-2669
Phone number: 478-345-5531
Copy
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