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1679006753
LISA POTTS
LAGRANGE, GA
NPI
1679006753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
347C00000X Private Vehicle
Additional Taxonomies
376K00000X Nurse's Aide
(Licence: GA CN0000047840)
Enumeration Date
2017-04-06
Last Update Date
2017-04-06
Business Address
-- LISA POTTS
401A BOULEVARD
LAGRANGE, GA 30240
Phone number: 706-333-9369
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Mailing Address
-- LISA POTTS
401A BOULEVARD
LAGRANGE, GA 30240
Phone number: 706-333-9369
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