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Organization

HAIRITAGE HOUSE HAIR SALON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL MYRICK HAIR LOSS SPECIALIST (OWNER/SPECIALIST)
(346) 204-2935
Entity
Organization

Contact information

Practice address
4501 RUSSELL PKWY STE 9, WARNER ROBINS, GA 31088-8679
(478) 599-9696
Mailing address
102 FINEGAND PL, WARNER ROBINS, GA 31088-8536
(478) 599-9696

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary

Other

Enumeration date
03/04/2025
Last updated
03/04/2025
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