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Organization

POSH A MIREILLE SALON AND HAIR REPLACEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LASHONIA LATRICE TURNER CERTIFIED HAIR LOSS (CERTIFIED HAIR LOSS SPECIALIST)
(404) 287-4321
Entity
Organization

Contact information

Practice address
2300 LIAM AVE, SUITE 207, DACULA, GA 30019-2263
(404) 287-4321
(678) 691-0947
Mailing address
2739 HERITAGE OAKS CIR, DACULA, GA 30019-7080
(404) 287-4321

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
06/22/2016
Last updated
06/22/2016
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