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1780031229
CANDACE M HARRIS
TUCKER, GA
NPI
1780031229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: GA MT007107)
Enumeration Date
2016-05-14
Last Update Date
2016-05-14
Business Address
-- CANDACE M HARRIS LMT
2015 MONTREAL RD
TUCKER, GA 30084-5224
Phone number: 678-751-2526
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Mailing Address
-- CANDACE M HARRIS LMT
2015 MONTREAL RD
TUCKER, GA 30084-5224
Phone number: 678-751-2526
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