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1043770399
SOPHIA DELORISE NORMAN
KENNESAW, GA
NPI
1043770399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: GA 059343)
Enumeration Date
2019-03-22
Last Update Date
2019-03-22
Business Address
SOPHIA DELORISE NORMAN Lpn 059343
2701 TREES OF KENNESAW PKWY NW
KENNESAW, GA 30152-8223
Phone number: 404-491-5190
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Mailing Address
SOPHIA DELORISE NORMAN Lpn 059343
2701 TREES OF KENNESAW PKWY NW
KENNESAW, GA 30152-8223
Phone number: 404-491-5190
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