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1063036051
KIANNA TYMORIA BOONE
FITZGERALD, GA
NPI
1063036051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246RP1900X Technician, Pathology, Phlebotomy
(Licence: GA 318-10178)
Enumeration Date
2020-06-04
Last Update Date
2020-06-04
Business Address
KIANNA TYMORIA BOONE
608 S LEE ST
FITZGERALD, GA 31750-3217
Phone number: 229-472-2246
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Mailing Address
KIANNA TYMORIA BOONE
608 S LEE ST
FITZGERALD, GA 31750-3217
Phone number: 229-472-2246
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