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1801034384
LASHA GAVIN
SUMMIT, MS
NPI
1801034384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MS TA2277)
Enumeration Date
2009-01-22
Last Update Date
2009-01-22
Business Address
-- LASHA GAVIN
4109 HIGHWAY 98W
SUMMIT, MS 39666
Phone number: 601-276-3900
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Mailing Address
-- LASHA GAVIN
6218 HIGHWAY 15
LOUIN, MS 39338-4128
Phone number:
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