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1104069517
TAINA S. HOLLY
RIVERDALE, GA
NPI
1104069517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN061999)
Enumeration Date
2009-04-15
Last Update Date
2009-04-15
Business Address
MRS. TAINA S. HOLLY LPN
1234 ELGIN WAY
RIVERDALE, GA 30296
Phone number: 770-629-1565
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Mailing Address
MRS. TAINA S. HOLLY LPN
1234 ELGIN WAY
RIVERDALE, GA 30296
Phone number: 770-629-1565
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