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1023715505
TAMMY RENA TAYLOR
FAYETTEVILLE, GA
NPI
1023715505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN078353)
Enumeration Date
2023-02-14
Last Update Date
2023-02-19
Business Address
TAMMY RENA TAYLOR
110 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214-1500
Phone number: 770-461-2928
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Mailing Address
TAMMY RENA TAYLOR
6302 LAMP POST PL
COLLEGE PARK, GA 30349-8830
Phone number: 760-672-5944
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