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1114456514
GRACE L KELSON
RIVERDALE, GA
NPI
1114456514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA 87808)
Enumeration Date
2017-06-08
Last Update Date
2022-07-21
Business Address
GRACE L KELSON LPN
9142 CLUBHOUSE DR
RIVERDALE, GA 30274
Phone number: 404-747-2575
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Mailing Address
GRACE L KELSON LPN
9142 CLUBHOUSE DR
RIVERDALE, GA 30274-4644
Phone number: 404-747-2575
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