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Individual

AMBER LASHA HARRIED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
110 US 61, NATCHEZ, MS 39120
(718) 406-5693
Mailing address
2722 RIVER RD, FAYETTE, MS 39069-5366
(718) 406-5693

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4288-22
MS

Other

Enumeration date
06/16/2022
Last updated
06/16/2022
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