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1114450749
ALISA OATES
BYRON, GA
NPI
1114450749
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Entity Type
Organization
Authorized Contact
ALISA OATES
Lpn
478-978-2825
Organization Subpart ?
No
Primary Taxonomy
284300000X Special Hospital
(Licence: GA LPN070308)
Enumeration Date
2017-04-11
Last Update Date
2017-04-11
Business Address
ALISA OATES
116 FAYBROOK DR
BYRON, GA 31008-9530
Phone number: 478-978-2825
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Mailing Address
ALISA OATES
116 FAYBROOK DR
BYRON, GA 31008-9530
Phone number:
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