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1013156132
BASERINE C. GRACE
DUBLIN, GA
NPI
1013156132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN024259)
Enumeration Date
2009-02-12
Last Update Date
2009-02-12
Business Address
-- BASERINE C. GRACE LPN
2121A BELLEVUE RD
DUBLIN, GA 31021-2998
Phone number: 478-272-1190
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Mailing Address
-- BASERINE C. GRACE LPN
2121A BELLEVUE RD
DUBLIN, GA 31021-2998
Phone number: 478-272-1190
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