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1922502780
LATASHUA JOSEPH
WACO, TX
NPI
1922502780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MO 2019046349)
Enumeration Date
2018-03-19
Last Update Date
2023-12-29
Business Address
LATASHUA JOSEPH
609 ELM ST
WACO, TX 76704-2516
Phone number: 254-313-6960
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Mailing Address
LATASHUA JOSEPH
1070 W MAIN ST APT 210
HENDERSONVILLE, TN 37075-2869
Phone number: 845-729-9353
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