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1619798972
YAKEISSA SHONTA WHITE
STOCKBRIDGE, GA
NPI
1619798972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment
(Licence: GA CO26618)
Enumeration Date
2024-10-21
Last Update Date
2024-10-21
Business Address
YAKEISSA SHONTA WHITE
747 DAVIS RD STE 200
STOCKBRIDGE, GA 30281-3015
Phone number: 404-808-5672
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Mailing Address
YAKEISSA SHONTA WHITE
747 DAVIS RD STE 200
STOCKBRIDGE, GA 30281-3015
Phone number: 404-808-5672
Copy
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