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1063758308
KTONYA LATRAI DUNLAP
LAGRANGE, GA
NPI
1063758308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN065546)
Enumeration Date
2012-12-13
Last Update Date
2012-12-13
Business Address
-- KTONYA LATRAI DUNLAP LPN
122 GORDON COMMERCIAL DR STE C
LAGRANGE, GA 30240-5754
Phone number: 706-845-4054
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Mailing Address
-- KTONYA LATRAI DUNLAP LPN
122 GORDON COMMERCIAL DR STE C
LAGRANGE, GA 30240-5754
Phone number:
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