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1023095056
BETTY ANN BOUTWELL
DUBLIN, GA
NPI
1023095056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA P018625)
Enumeration Date
2005-12-30
Last Update Date
2007-07-08
Business Address
Ms. BETTY ANN BOUTWELL LPN
2121A BELLEVUE RD
DUBLIN, GA 31021-2998
Phone number: 478-272-1190
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Mailing Address
Ms. BETTY ANN BOUTWELL LPN
2121A BELLEVUE RD
DUBLIN, GA 31021
Phone number: 478-272-1190
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