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1962960740
LATASHA A GREEN
PHENIX CITY, AL
NPI
1962960740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2019-03-11
Last Update Date
2019-03-11
Business Address
LATASHA A GREEN
25 KALIN ST
PHENIX CITY, AL 36869-3469
Phone number: 706-330-3754
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Mailing Address
LATASHA A GREEN
25 KALIN ST
PHENIX CITY, AL 36869-3469
Phone number: 706-330-3754
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