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Organization
UNIQUE CREATIONS HAIR STUDIOS II, LLC
Active
Organization
UNIQUE CREATIONS HAIR STUDIOS II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE RACHELLE DEERING HLP, TRICHOLOGIST (OWNER)
(470) 242-4675
Entity
Organization
Contact information
Practice address
303 JONESBORO RD, MCDONOUGH, GA 30253-3725
(470) 242-4675
(678) 619-5521
Mailing address
1924 WEATHERSTAFF LN, MCDONOUGH, GA 30253-3072
(470) 242-4675
(678) 619-5521
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
COSA049674
GA
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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