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1932305810
CHASKA LASHAWN MOORE
JONESBORO, GA
NPI
1932305810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 4012)
Enumeration Date
2007-06-26
Last Update Date
2007-07-08
Business Address
Mrs. CHASKA LASHAWN MOORE PA-C
750 MOUNT ZION RD
JONESBORO, GA 30236-3002
Phone number: 770-960-8855
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Mailing Address
Mrs. CHASKA LASHAWN MOORE PA-C
750 MOUNT ZION RD
JONESBORO, GA 30236-3002
Phone number: 770-778-9004
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