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1912595943
TIASHYANA REID
LAWRENCEVILLE, GA
NPI
1912595943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN097219)
Enumeration Date
2021-01-05
Last Update Date
2021-01-05
Business Address
TIASHYANA REID LPN
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
TIASHYANA REID LPN
2890 VALLEY RIDGE DR
DECATUR, GA 30032-5765
Phone number: 203-290-9462
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