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1588492722
LYLA DAE WATERS
DOTHAN, AL
NPI
1588492722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-22
Last Update Date
2024-07-22
Business Address
LYLA DAE WATERS
112 HAVEN DR
DOTHAN, AL 36301-2907
Phone number: 334-709-4024
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Mailing Address
LYLA DAE WATERS
213 PINERIDGE RD # AL
TAYLOR, AL 36301-9197
Phone number: 334-547-1408
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