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1003064734
ASHLEIGH DERISO
AUGUSTA, GA
NPI
1003064734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA 075313)
Enumeration Date
2008-09-06
Last Update Date
2008-09-06
Business Address
-- ASHLEIGH DERISO
1727 WRIGHTSBORO RD SUITE B
AUGUSTA, GA 30904-4074
Phone number: 706-736-8170
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Mailing Address
-- ASHLEIGH DERISO
7377 CLARKS MILL RD
LOUISVILLE, GA 30434-4102
Phone number: 706-699-4585
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