LA KEISHA FAIR

LEBANON, TN
NPI1588072771
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: TN  0000001348)
Enumeration Date2014-07-31
Last Update Date2014-07-31
Business Address
-- LA KEISHA FAIR MAE, ATC,LAT
1 CUMBERLAND SQUARE
LEBANON, TN 37087
Phone number: 615-453-6327
Mailing Address
-- LA KEISHA FAIR MAE, ATC,LAT
1 CUMBERLAND SQ
LEBANON, TN 37087-3408
Phone number: 615-453-6327
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