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1851904379
VARRENZA LASHAUN BAKER
ATLANTA, GA
NPI
1851904379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
(Licence: GA 82164)
Enumeration Date
2020-08-25
Last Update Date
2020-08-25
Business Address
VARRENZA LASHAUN BAKER CTRS
1701 HARDEE AVE SW
ATLANTA, GA 30310-5110
Phone number: 404-321-6111
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Mailing Address
VARRENZA LASHAUN BAKER CTRS
174 SHOAL PARK DR
MCDONOUGH, GA 30252-5822
Phone number: 256-390-6779
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