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Individual

ROCHELLE LAVONNE HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
828 W HIGHLAND AVE, ALBANY, GA 31701-2778
(404) 447-8659
Mailing address
3816 MAYFAIR LN APT A, ALBANY, GA 31721-6547
(404) 447-8659

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1744P3200X
1744P3200X
GA
Enumeration date
10/20/2017
Last updated
10/20/2017
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