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1780250779
LATEEF DALY
FORT STEWART, GA
NPI
1780250779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-06-01
Last Update Date
2021-08-15
Business Address
LATEEF DALY PA
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-6965
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Mailing Address
LATEEF DALY PA
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-6965
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