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Individual

MRS. LISA PERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2145 CANDLER RD, SUITE 1331, DECATUR, GA 30032-5574
(216) 326-6048
Mailing address
2145 CANDLER RD, SUITE 1331, DECATUR, GA 30032-5574
(216) 326-6048

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
OH

Other

Enumeration date
08/23/2012
Last updated
08/23/2012
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