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1629738778
TARA LA-KESSA PARKS
CAIRO, GA
NPI
1629738778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN1225181)
Enumeration Date
2021-12-29
Last Update Date
2021-12-29
Business Address
TARA LA-KESSA PARKS LPN
651 8TH AVE SE
CAIRO, GA 39828-3126
Phone number: 904-352-5767
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Mailing Address
TARA LA-KESSA PARKS LPN
651 8TH AVE SE
CAIRO, GA 39828-3126
Phone number: 904-352-5767
Copy
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