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1073790218
JACQUELINE DENISE BETTS
VIDALIA, GA
NPI
1073790218
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Former Name
JACQUELINE DENISE COOK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN059040)
Enumeration Date
2008-01-30
Last Update Date
2008-01-30
Business Address
Ms. JACQUELINE DENISE BETTS
415 DICKERSON DR
VIDALIA, GA 30474-3826
Phone number: 912-538-8474
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Mailing Address
Ms. JACQUELINE DENISE BETTS
415 DICKERSON DR
VIDALIA, GA 30474-3826
Phone number: 912-538-8474
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