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1093462327
JOI LEAH RUSSELL
LAWRENCEVILLE, GA
NPI
1093462327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA 098493)
Enumeration Date
2022-03-07
Last Update Date
2022-03-07
Business Address
JOI LEAH RUSSELL
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
JOI LEAH RUSSELL
313 MANSFIELD WAY
STOCKBRIDGE, GA 30281-1579
Phone number: 404-539-5932
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