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1124113659
ANGELA LOUISE DECOURSEY
DAWSONVILLE, GA
NPI
1124113659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN048989)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
-- ANGELA LOUISE DECOURSEY LPN
54 HIGHWAY 53 EAST
DAWSONVILLE, GA 30534
Phone number: 706-265-2611
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Mailing Address
-- ANGELA LOUISE DECOURSEY LPN
54 HIGHWAY 53 EAST
DAWSONVILLE, GA 30534
Phone number: 706-265-2611
Copy
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