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1861746745
KENENNESHA LATASHA MITCHELL
AUGUSTA, GA
NPI
1861746745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
146M00000X Emergency Medical Technician, Intermediate
(Licence: GA 29545)
Enumeration Date
2012-10-31
Last Update Date
2012-10-31
Business Address
KENENNESHA LATASHA MITCHELL EMT-I
2467 GOLDEN CAMP RD
AUGUSTA, GA 30906-5515
Phone number: 706-790-4440
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Mailing Address
KENENNESHA LATASHA MITCHELL EMT-I
2467 GOLDEN CAMP RD
AUGUSTA, GA 30906-5515
Phone number: 706-790-4440
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