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1083346001
DEONTA LASHEA BLOUNT
STONE MOUNTAIN, GA
NPI
1083346001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QC1500X Clinic/Center, Community Health
(Licence: GA LPN072168)
Enumeration Date
2022-06-28
Last Update Date
2022-06-28
Business Address
DEONTA LASHEA BLOUNT LPN
798 RAYS RD STE 100
STONE MOUNTAIN, GA 30083-3144
Phone number: 470-736-9644
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Mailing Address
DEONTA LASHEA BLOUNT LPN
798 RAYS RD STE 100
STONE MOUNTAIN, GA 30083-3144
Phone number: 470-736-9644
Copy
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