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1093960601
WANDA SMITH-HERNDON
COLUMBUS, GA
NPI
1093960601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA 042791)
Enumeration Date
2008-11-24
Last Update Date
2008-11-24
Business Address
-- WANDA SMITH-HERNDON
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-596-5883
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Mailing Address
-- WANDA SMITH-HERNDON
464 NORTH END OAKLEY DR. APT. G108
COLUMBUS, GA 31906
Phone number: 706-464-4232
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