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1609695592
TIEASHA SHEPHERD
VALDOSTA, GA
NPI
1609695592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA MT014905)
Enumeration Date
2024-10-08
Last Update Date
2024-10-08
Business Address
TIEASHA SHEPHERD
235 NORTHSIDE DR
VALDOSTA, GA 31602-1859
Phone number: 229-531-3835
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Mailing Address
TIEASHA SHEPHERD
4301 BEMISS RD APT C101
VALDOSTA, GA 31605-6133
Phone number: 229-531-3835
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