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1023419751
IVY KENNEDY
FORT STEWART, GA
NPI
1023419751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN079468)
Enumeration Date
2014-09-12
Last Update Date
2014-09-12
Business Address
-- IVY KENNEDY
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-8752
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Mailing Address
-- IVY KENNEDY
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-8752
Copy
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