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1073171799
MELANIE DAWN WEATHINGTON
LAGRANGE, GA
NPI
1073171799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN079088)
Enumeration Date
2019-05-29
Last Update Date
2019-05-29
Business Address
MELANIE DAWN WEATHINGTON
122 GORDON COMMERCIAL DR STE D
LAGRANGE, GA 30240-5754
Phone number: 706-845-4054
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Mailing Address
MELANIE DAWN WEATHINGTON
122 GORDON COMMERCIAL DR STE D
LAGRANGE, GA 30240-5754
Phone number: 706-845-4054
Copy
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