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Individual

TESSICA PAISLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1025 KILLIAN HILL RD SW STE J, LILBURN, GA 30047-7601
(678) 336-9604
Mailing address
4491 IVY VIEW CT, LOGANVILLE, GA 30052-5922
(914) 843-2442

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
09/28/2022
Last updated
09/28/2022
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